ArticleJSES international2026
Evaluation of muscle strength recovery following reverse total shoulder arthroplasty versus superior capsular reconstruction using tensor fascia lata graft in patients with irreparable rotator cuff tears.
Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Reverse total shoulder arthroplasty (rTSA) and superior capsular reconstruction (SCR) have not been previously compared with respect to muscle strength recovery, which may be an important factor influencing activities of daily living. We aimed to elucidate functional recovery profiles based on muscle strength and range of motion (ROM) in patients undergoing rTSA or SCR using tensor fascia lata graft for irreparable rotator cuff tears. Methods: The rTSA and SCR groups comprised 20 and 22 patients, respectively, with a minimum follow-up of 2 years. Muscle strength (abduction, external rotation, and internal rotation) was evaluated using a handheld dynamometer (FET Manual Muscle Testing System, Nihon MEDIX, Japan). Strength on the affected side was compared with that on the unaffected side and between groups. Shoulder ROM was also assessed. Results: The SCR group showed lower abduction strength recovery than did the rTSA group (52% vs. 67%, Conclusion: While rTSA provides superior abduction strength recovery, SCR offers significantly greater ROM in flexion, abduction, and internal rotation. This distinction between ROM and muscle strength may provide clinically meaningful context for surgical decision-making.
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