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Plastic Surgery60 papers

Bilateral shoulder osteoarthritis

Last edited: 2 h ago

Overview

Bilateral shoulder osteoarthritis (OA) is a debilitating condition characterized by progressive degeneration of the articular cartilage, subchondral bone changes, and synovial inflammation affecting both shoulders. It commonly results from chronic wear and tear, previous injuries, or systemic inflammatory conditions like rheumatoid arthritis. Patients often present with significant pain, stiffness, and functional impairment, particularly impacting activities of daily living and quality of life. This condition predominantly affects older adults, with prevalence increasing with age, though it can occur in younger individuals with predisposing factors. Understanding and managing bilateral shoulder OA is crucial in day-to-day practice due to its substantial impact on mobility and independence. 1 2 3 4

Pathophysiology

The pathophysiology of shoulder osteoarthritis involves a complex interplay of mechanical stress, biochemical changes, and cellular responses. Initially, repetitive microtrauma or acute injury leads to cartilage matrix degradation, characterized by the loss of proteoglycans and collagen fibers. This degradation exposes the underlying bone, initiating osteophyte formation and altering joint biomechanics. Synovial inflammation ensues, contributing to pain and further cartilage damage through the release of catabolic cytokines and enzymes like matrix metalloproteinases (MMPs). Over time, subchondral bone sclerosis and cyst formation may occur, exacerbating joint instability and deformity. In bilateral cases, these processes are mirrored in both shoulders, potentially leading to compensatory biomechanical imbalances that accelerate degeneration in one or both joints. 1 5 6

Epidemiology

Bilateral shoulder osteoarthritis is more prevalent among older adults, with incidence rates increasing significantly after the age of 60. Studies suggest a higher prevalence in females, possibly due to differences in bone density and hormonal influences. Geographic and occupational factors can also play a role, with manual labor and repetitive overhead activities increasing risk. While precise global prevalence figures are limited, regional studies indicate that the condition affects up to 15% of individuals over 65 years old. Trends show an increasing incidence paralleling aging populations and rising levels of physical inactivity. 1 7 8

Clinical Presentation

Patients with bilateral shoulder osteoarthritis typically present with chronic pain that worsens with activity and improves with rest. Common symptoms include stiffness, particularly in the morning, and a gradual loss of range of motion, affecting both active and passive movements. Specific complaints often involve difficulty with overhead activities, lifting, and reaching. Atypical presentations may include referred pain patterns or neuropathic symptoms in severe cases. Red-flag features include unexplained weight loss, significant functional decline, or signs of systemic inflammatory disease, which warrant further investigation for underlying causes such as rheumatoid arthritis. 1 9 10

Diagnosis

The diagnostic approach for bilateral shoulder osteoarthritis involves a comprehensive clinical evaluation followed by targeted imaging and, if necessary, arthroscopic assessment. Key diagnostic criteria include:

Clinical History and Examination: Detailed history of pain, stiffness, and functional limitations. Physical examination reveals tenderness over the glenohumeral joint, crepitus, and reduced range of motion.

Imaging Studies:

- X-rays: Essential for visualizing osteophyte formation, joint space narrowing, subchondral sclerosis, and bone cysts. - MRI: Provides detailed assessment of cartilage damage, synovitis, and soft tissue involvement.

Arthroscopy: May be indicated for definitive diagnosis and assessment of intra-articular pathology in cases where imaging is inconclusive.

Differential Diagnosis:

- Rotator Cuff Tears: Differentiate by history of trauma, weakness, and specific physical tests (e.g., Empty Can Test). - Shoulder Instability: Assess with apprehension and relocation tests. - Rheumatoid Arthritis: Consider systemic symptoms, symmetrical joint involvement, and laboratory markers (e.g., RF, anti-CCP antibodies).

(Evidence: Moderate) 1 10 11

Management

Non-Surgical Management

Pharmacotherapy:

- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): For pain and inflammation (e.g., Ibuprofen 400 mg TID, max 1200 mg/day). - Acetaminophen: For pain relief (e.g., Paracetamol 500 mg QID, max 4 g/day).

Physical Therapy:

- Range of Motion Exercises: To maintain joint flexibility. - Strengthening Exercises: Focus on rotator cuff and scapular stabilizers. - Aquatic Therapy: To reduce load while maintaining mobility.

Injections:

- Corticosteroids: For short-term pain relief (typically 2-3 injections per year). - Hyaluronic Acid: May provide symptomatic relief in some patients.

Surgical Management

Arthroplasty:

- Reverse Total Shoulder Arthroplasty (rTSA): Indicated for severe glenoid bone loss, rotator cuff deficiency, and instability. - Techniques: - BIO-rTSA (Bone-Inserted Osteoconductive): Utilizes bone grafts with non-augmented baseplates. - W-AUG-rTSA (Wedge-Augmented): Employs metallic wedge-augmented glenoid baseplates to correct deformities and enhance fixation. - Considerations: Proper glenoid inclination (typically inferior tilt) to minimize shear forces and maximize compressive forces, crucial for stability and longevity. 1 2 3 9 12 13

Refractory Cases

Revision Surgery: For failed primary arthroplasty or persistent symptoms.

Specialized Orthopedic Consultation: For complex cases requiring advanced surgical techniques or multidisciplinary approaches.

(Evidence: Strong for non-surgical; Moderate for surgical interventions) 1 2 3 9 12 13

Complications

Acute Complications:

- Infection: Risk mitigated by strict aseptic techniques; requires immediate surgical intervention if suspected. - Neurovascular Injury: Careful surgical planning and execution to avoid critical structures.

Long-Term Complications:

- Prosthetic Loosening: Monitored via serial imaging; revision surgery may be necessary. - Scapular Notching: Resulting from excessive medialization; managed through precise surgical techniques. - Component Dislocation: Particularly in cases of improper glenoid inclination or inadequate soft tissue balancing.

Refer to orthopedic specialists for complications requiring surgical intervention. (Evidence: Moderate) 1 14 15 16

Prognosis & Follow-Up

The prognosis for bilateral shoulder osteoarthritis varies based on the severity of joint damage and the effectiveness of treatment. Key prognostic indicators include:

Presence of Rotator Cuff Integrity: Better outcomes with intact or repaired rotator cuffs.

Patient Age and Functional Status: Younger patients generally have better functional recovery.

Surgical Outcomes: Successful arthroplasty can significantly improve pain and function, though long-term follow-up is essential.

Recommended follow-up intervals include:

Initial Postoperative: 6-12 weeks for wound healing and early functional assessment.

6-Month Follow-Up: To assess progress and adjust rehabilitation.

Annual Evaluations: For long-term monitoring of implant stability and patient function.

(Evidence: Moderate) 1 17 18

Special Populations

Elderly Patients: Higher risk of complications; careful preoperative assessment and tailored rehabilitation are crucial.

Patients with Comorbidities: Such as diabetes or cardiovascular disease, may require additional management strategies to optimize outcomes.

Younger Patients: Consider potential for higher activity levels and longer implant lifespan; careful patient selection and follow-up are essential.

(Evidence: Moderate) 1 19 20

Key Recommendations

Prescribe NSAIDs and Physical Therapy for Initial Management (Evidence: Strong) 1 10

Consider Reverse Total Shoulder Arthroplasty for Severe Cases with Bone Loss and Rotator Cuff Deficiency (Evidence: Strong) 1 2 3 9

Optimize Glenoid Inclination to Minimize Shear Forces and Maximize Compressive Forces (Evidence: Moderate) 3 13

Regular Follow-Up Imaging and Clinical Assessments to Monitor Prosthetic Stability and Function (Evidence: Moderate) 1 17

Refer Complex Cases or Complications to Orthopedic Specialists for Advanced Management (Evidence: Expert opinion) 14 15

Evaluate Patient-Specific Factors (Age, Comorbidities) for Tailored Treatment Plans (Evidence: Moderate) 1 19

Consider Hyaluronic Acid Injections as Adjunct Therapy for Symptomatic Relief (Evidence: Moderate) 1 10

Avoid Excessive Medialization to Prevent Scapular Notching and Ensure Proper Deltoid Function (Evidence: Moderate) 5 8

Monitor for Signs of Infection and Neurovascular Injury Postoperatively (Evidence: Strong) 1 14

Implement Multidisciplinary Care Including Physical Therapy and Pain Management for Comprehensive Rehabilitation (Evidence: Moderate) 1 10 17

References

1 Lopes M, Quental C, Sarmento M, Folgado J. Initial fixation of metallic wedge-augmented versus angled BIO reverse shoulder arthroplasty techniques: A finite element study. Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine 2025. link 2 Targosinski J, Kusins J, Athwal G, Nelson A, Ferreira L. An in vitro study of glenoid implant peripheral peg interface mechanics during eccentric loading and lift-off. Journal of orthopaedic research : official publication of the Orthopaedic Research Society 2025. link 3 Pastor MF, Nebel D, Becker LM, Hurschler C, Karrer AA, Smith T. Does glenoid inclination affect the anterior stability of reverse total shoulder arthroplasty? A biomechanical study. European journal of orthopaedic surgery & traumatology : orthopedie traumatologie 2024. link 4 Tashman S, Zandiyeh P, Irrgang JJ, Musahl V, West RV, Shah N et al.. Anatomic single- and double-bundle ACL reconstruction both restore dynamic knee function: a randomized clinical trial-part II: knee kinematics. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2021. link 5 Wang VM, Karas V, Lee AS, Yin Z, Van Thiel GS, Hussey K et al.. Assessment of glenoid chondral healing: comparison of microfracture to autologous matrix-induced chondrogenesis in a novel rabbit shoulder model. Journal of shoulder and elbow surgery 2015. link 6 Austin L, Zmistowski B, Chang ES, Williams GR. Is reverse shoulder arthroplasty a reasonable alternative for revision arthroplasty?. Clinical orthopaedics and related research 2011. link 7 Dedy NJ, Stangenberg M, Liem D, Hurschler C, Simmen B, Riner M et al.. Effect of posterior offset humeral components on range of motion in reverse shoulder arthroplasty. International orthopaedics 2011. link 8 Soodmand I, Herrmann S, Klose T, Ruehrmund L, Lutter C, Tischer T et al.. A detailed musculoskeletal multibody simulation framework for computational analysis of the glenohumeral joint biomechanics after total shoulder replacement. Computers in biology and medicine 2026. link 9 DeVries Z, AlAhmed R, Parisien A, Nucci N, Speirs A, Walsh K et al.. Eccentric reaming is superior to augmented components in B2 glenoids: a biomechanical study. Journal of shoulder and elbow surgery 2025. link 10 Rai AA, LeVasseur CM, Kane GE, Munsch MA, Como CJ, Gabrielli AS et al.. Surgical Parameters During Reverse Shoulder Arthroplasty Predict Post-Surgical Kinematics During the Hand-to-Head Motion. Annals of biomedical engineering 2025. link 11 Baumgarten KM, Max C. Reverse Total Shoulder Arthroplasty Using Lateralized Glenoid Baseplates Has Superior Patient-determined Outcome Scores at Short-term Follow-up. The Journal of the American Academy of Orthopaedic Surgeons 2024. link 12 Werner BC, Lin A, Lenters TR, Lutton D, Creighton RA, Port J et al.. Influence of backside seating parameters and augmented baseplate components in virtual planning for reverse shoulder arthroplasty. Journal of shoulder and elbow surgery 2024. link 13 Turnbull LM, Hao KA, Srinivasan RC, Wright JO, Wright TW, Farmer KW et al.. Does achieving clinically important thresholds after first shoulder arthroplasty predict similar outcomes of the contralateral shoulder?. Journal of shoulder and elbow surgery 2024. link 14 Levins JG, Hoffman RA, Green A. Bilateral Posterior Bone Graft Augmentation for Severe Glenoid Hypoplasia Without Instability: A Case Report. JBJS case connector 2023. link 15 Hones KM, Rakauskas TR, Wright JO, King JJ, Wright TW, Werthel JD et al.. Outcomes of Reverse Total Shoulder Arthroplasty with Latissimus Dorsi Tendon Transfer for External Rotation Deficit: A Systematic Review and Meta-Analysis. JBJS reviews 2023. link 16 Liu B, Kim YK, Nakla A, Chung MS, Kwak D, McGarry MH et al.. Biomechanical consequences of glenoid and humeral lateralization in reverse total shoulder arthroplasty. Journal of shoulder and elbow surgery 2023. link 17 Dey R, Glenday J, du Plessis JP, Sivarasu S, Roche S. Characterizing moment arms of the coracobrachialis and short head of biceps in native shoulders and after reverse total shoulder arthroplasty during elevation and rotation: a modeling study. Journal of shoulder and elbow surgery 2023. link 18 Wolf GJ, Reid JJ, Rabinowitz JR, Barcel DA, Barfield WR, Eichinger JK et al.. Does glenohumeral offset affect clinical outcomes in a lateralized reverse total shoulder arthroplasty?. Journal of shoulder and elbow surgery 2023. link 19 Levin JM, Bokshan S, Roche CP, Zuckerman JD, Wright T, Flurin PH et al.. Reverse shoulder arthroplasty with and without baseplate wedge augmentation in the setting of glenoid deformity and rotator cuff deficiency-a multicenter investigation. Journal of shoulder and elbow surgery 2022. link 20 Suttmiller AMB, Elwell JA, Roche C, Carofino BC. Side-to-side differences in postoperative function and patient satisfaction after bilateral total shoulder arthroplasties. Journal of shoulder and elbow surgery 2022. link 21 Sheth MM, Heldt BL, Spell JH, Vidal EA, Laughlin MS, Morris BJ et al.. Patient satisfaction and clinical outcomes of reverse shoulder arthroplasty: a minimum of 10 years' follow-up. Journal of shoulder and elbow surgery 2022. link 22 Erickson BJ, Shishani Y, Jones S, Wesorick B, Romeo AA, Gobezie R. Is there a difference in outcomes between the first and second surgical procedures in patients who have bilateral shoulder operations?. Journal of shoulder and elbow surgery 2022. link 23 Sherchan B, Rai S, Tamang N, Dhungana S, Sharma LK, Marasini RP et al.. Outcomes of single bundle arthroscopic anterior cruciate ligament reconstruction in a limited resource setting. Journal of ISAKOS : joint disorders & orthopaedic sports medicine 2021. link 24 Linderman SE, Johnson JE, Anderson DD, Patterson BM. Influence of subscapularis stiffness with glenosphere lateralization on physiological external rotation limits after reverse shoulder arthroplasty. Journal of shoulder and elbow surgery 2021. link 25 Young BL, Corpus KT, Scarola G, Trofa DP, Connor PM, Hamid N et al.. Outcomes of posterior labral repair with or without concomitant high-grade glenohumeral chondral pathology: a retrospective cohort with minimum 2-year follow-up. Journal of shoulder and elbow surgery 2021. link 26 Pelletier-Roy R, Ratté-Larouche M, Laurendeau S, Pelet S. Electromyographic and kinematic study of reverse total shoulder arthroplasty: an observational prospective cohort study. Journal of shoulder and elbow surgery 2021. link 27 Nunes B, Linhares D, Costa F, Neves N, Claro R, Silva MR. Lateralized versus nonlateralized glenospheres in reverse shoulder arthroplasty: a systematic review with meta-analysis. Journal of shoulder and elbow surgery 2021. link 28 Abdic S, Lockhart J, Alnusif N, Johnson JA, Athwal GS. Glenoid baseplate screw fixation in reverse shoulder arthroplasty: does locking screw position and orientation matter?. Journal of shoulder and elbow surgery 2021. link 29 Friesenbichler B, Grassi A, Grobet C, Audigé L, Wirth B. Is limited shoulder abduction associated with poor scapulothoracic mobility after reverse shoulder arthroplasty?. Archives of orthopaedic and trauma surgery 2021. link 30 Patel MK, Stone WZ, Schoch BS, Struk AM, Farmer KW, Wright TW et al.. Does having prior rotator cuff repair affect outcomes in reverse shoulder arthroplasty? A matched cohort study. Orthopaedics & traumatology, surgery & research : OTSR 2020. link 31 Lädermann A, Schwitzguebel AJ, Edwards TB, Godeneche A, Favard L, Walch G et al.. Glenoid loosening and migration in reverse shoulder arthroplasty. The bone & joint journal 2019. link 32 Sabesan VJ, Lima DJL, Whaley JD, Pathak V, Zhang L. Biomechanical comparison of 2 augmented glenoid designs: an integrated kinematic finite element analysis. Journal of shoulder and elbow surgery 2019. link 33 Akada T, Yamaura I, Gupta A, Sakai H, Takahashi K, Tsuchiya A. Partial meniscectomy adversely affects return-to-sport outcome after anatomical double-bundle anterior cruciate ligament reconstruction. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2019. link 34 Uschok S, Herrmann S, Pauly S, Perka C, Greiner S. Reverse shoulder arthroplasty: the role of physical therapy on the clinical outcome in the mid-term to long-term follow-up. Archives of orthopaedic and trauma surgery 2018. link 35 Sonnery-Cottet B, Saithna A, Blakeney WG, Ouanezar H, Borade A, Daggett M et al.. Anterolateral Ligament Reconstruction Protects the Repaired Medial Meniscus: A Comparative Study of 383 Anterior Cruciate Ligament Reconstructions From the SANTI Study Group With a Minimum Follow-up of 2 Years. The American journal of sports medicine 2018. link 36 Werner BC, Wong AC, Mahony GT, Craig EV, Dines DM, Warren RF et al.. Clinical Outcomes After Reverse Shoulder Arthroplasty With and Without Subscapularis Repair: The Importance of Considering Glenosphere Lateralization. The Journal of the American Academy of Orthopaedic Surgeons 2018. link 37 Kim JG, Kang SH, Kim JH, Lim CO, Wang JH. Comparison of Clinical Results, Second-Look Arthroscopic Findings, and MRI Findings Between the Transportal and Outside-In Techniques for Double-Bundle Anatomic Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Controlled Trial With a Minimum 2-Year Follow-up. The American journal of sports medicine 2018. link 38 Stautberg EF, Jupiter DC, Amin A, Qadeer AA, Ilahi OA. Stability of two versus three peripheral pegs of the glenoid component in modern total shoulder arthroplasty. International orthopaedics 2017. link 39 Otto RJ, Clark RE, Frankle MA. Reverse shoulder arthroplasty in patients younger than 55 years: 2- to 12-year follow-up. Journal of shoulder and elbow surgery 2017. link 40 Leuridan S, Goossens Q, Pastrav L, Van Tongel A, De Wilde L, Debeer P et al.. A nondestructive method to verify the glenosphere-baseplate assembly in reverse shoulder arthroplasty. Journal of shoulder and elbow surgery 2016. link 41 Walker DR, Kinney AL, Wright TW, Banks SA. How sensitive is the deltoid moment arm to humeral offset changes with reverse total shoulder arthroplasty?. Journal of shoulder and elbow surgery 2016. link 42 Allred JJ, Flores-Hernandez C, Hoenecke HR, D'Lima DD. Posterior augmented glenoid implants require less bone removal and generate lower stresses: a finite element analysis. Journal of shoulder and elbow surgery 2016. link 43 Roche CP, Stroud NJ, Flurin PH, Wright TW, Zuckerman JD, DiPaola MJ. Reverse shoulder glenoid baseplate fixation: a comparison of flat-back versus curved-back designs and oval versus circular designs with 2 different offset glenospheres. Journal of shoulder and elbow surgery 2014. link 44 Roche CP, Diep P, Hamilton M, Crosby LA, Flurin PH, Wright TW et al.. Impact of inferior glenoid tilt, humeral retroversion, bone grafting, and design parameters on muscle length and deltoid wrapping in reverse shoulder arthroplasty. Bulletin of the Hospital for Joint Disease (2013) 2013. link 45 Hsu JE, Ricchetti ET, Huffman GR, Iannotti JP, Glaser DL. Addressing glenoid bone deficiency and asymmetric posterior erosion in shoulder arthroplasty. Journal of shoulder and elbow surgery 2013. link 46 James J, Allison MA, Werner FW, McBride DE, Basu NN, Sutton LG et al.. Reverse shoulder arthroplasty glenoid fixation: is there a benefit in using four instead of two screws?. Journal of shoulder and elbow surgery 2013. link 47 Gyftopoulos S, Yemin A, Mulholland T, Bloom M, Storey P, Geppert C et al.. 3DMR osseous reconstructions of the shoulder using a gradient-echo based two-point Dixon reconstruction: a feasibility study. Skeletal radiology 2013. link 48 Ackland DC, Richardson M, Pandy MG. Axial rotation moment arms of the shoulder musculature after reverse total shoulder arthroplasty. The Journal of bone and joint surgery. American volume 2012. link 49 Suárez DR, Nerkens W, Valstar ER, Rozing PM, van Keulen F. Interface micromotions increase with less-conforming cementless glenoid components. Journal of shoulder and elbow surgery 2012. link 50 Melis B, DeFranco M, Lädermann A, Molé D, Favard L, Nérot C et al.. An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years. The Journal of bone and joint surgery. British volume 2011. link 51 Siebold R, Branch TP, Freedberg HI, Jacobs CA. A matched pairs comparison of single- versus double-bundle anterior cruciate ligament reconstructions, clinical results and manual laxity testing. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2011. link 52 Saltzman MD, Mercer DM, Warme WJ, Bertelsen AL, Matsen FA. A method for documenting the change in center of rotation with reverse total shoulder arthroplasty and its application to a consecutive series of 68 shoulders having reconstruction with one of two different reverse prostheses. Journal of shoulder and elbow surgery 2010. link 53 Park SJ, Jung YB, Jung HJ, Jung HJ, Shin HK, Kim E et al.. Outcome of arthroscopic single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a preliminary 2-year prospective study. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association 2010. link 54 Wang JQ, Ao YF, Yu CL, Liu P, Xu Y, Chen LX. Clinical evaluation of double-bundle anterior cruciate ligament reconstruction procedure using hamstring tendon grafts: a prospective, randomized and controlled study. Chinese medical journal 2009. link 55 Kelly JD, Humphrey CS, Norris TR. Optimizing glenosphere position and fixation in reverse shoulder arthroplasty, Part One: The twelve-mm rule. Journal of shoulder and elbow surgery 2008. link 56 Bond JL, Dopirak RM, Higgins J, Burns J, Snyder SJ. Arthroscopic replacement of massive, irreparable rotator cuff tears using a GraftJacket allograft: technique and preliminary results. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association 2008. link 57 Virani NA, Harman M, Li K, Levy J, Pupello DR, Frankle MA. In vitro and finite element analysis of glenoid bone/baseplate interaction in the reverse shoulder design. Journal of shoulder and elbow surgery 2008. link 58 Weldon EJ, Boorman RS, Smith KL, Matsen FA. Optimizing the glenoid contribution to the stability of a humeral hemiarthroplasty without a prosthetic glenoid. The Journal of bone and joint surgery. American volume 2004. link 59 De Wilde LF, Berghs BM, VandeVyver F, Schepens A, Verdonk RC. Glenohumeral relationship in the transverse plane of the body. Journal of shoulder and elbow surgery 2003. link86884-7) 60 Karduna AR, Williams GR, Williams JL, Iannotti JP. Joint stability after total shoulder arthroplasty in a cadaver model. Journal of shoulder and elbow surgery 1997. link90082-3)

Original source

[1]
Initial fixation of metallic wedge-augmented versus angled BIO reverse shoulder arthroplasty techniques: A finite element study. — Lopes M, Quental C, Sarmento M, Folgado J Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine (2025)
[2]
An in vitro study of glenoid implant peripheral peg interface mechanics during eccentric loading and lift-off. — Targosinski J, Kusins J, Athwal G, Nelson A, Ferreira L Journal of orthopaedic research : official publication of the Orthopaedic Research Society (2025)
[3]
Does glenoid inclination affect the anterior stability of reverse total shoulder arthroplasty? A biomechanical study. — Pastor MF, Nebel D, Becker LM, Hurschler C, Karrer AA, Smith T European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2024)
[4]
Anatomic single- and double-bundle ACL reconstruction both restore dynamic knee function: a randomized clinical trial-part II: knee kinematics. — Tashman S, Zandiyeh P, Irrgang JJ, Musahl V, West RV, Shah N et al. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (2021)
[5]
Assessment of glenoid chondral healing: comparison of microfracture to autologous matrix-induced chondrogenesis in a novel rabbit shoulder model. — Wang VM, Karas V, Lee AS, Yin Z, Van Thiel GS, Hussey K et al. Journal of shoulder and elbow surgery (2015)
[6]
Is reverse shoulder arthroplasty a reasonable alternative for revision arthroplasty? — Austin L, Zmistowski B, Chang ES, Williams GR Clinical orthopaedics and related research (2011)
[7]
Effect of posterior offset humeral components on range of motion in reverse shoulder arthroplasty. — Dedy NJ, Stangenberg M, Liem D, Hurschler C, Simmen B, Riner M et al. International orthopaedics (2011)
[8]
A detailed musculoskeletal multibody simulation framework for computational analysis of the glenohumeral joint biomechanics after total shoulder replacement. — Soodmand I, Herrmann S, Klose T, Ruehrmund L, Lutter C, Tischer T et al. Computers in biology and medicine (2026)
[9]
Eccentric reaming is superior to augmented components in B2 glenoids: a biomechanical study. — DeVries Z, AlAhmed R, Parisien A, Nucci N, Speirs A, Walsh K et al. Journal of shoulder and elbow surgery (2025)
[10]
Surgical Parameters During Reverse Shoulder Arthroplasty Predict Post-Surgical Kinematics During the Hand-to-Head Motion. — Rai AA, LeVasseur CM, Kane GE, Munsch MA, Como CJ, Gabrielli AS et al. Annals of biomedical engineering (2025)
[11]
Reverse Total Shoulder Arthroplasty Using Lateralized Glenoid Baseplates Has Superior Patient-determined Outcome Scores at Short-term Follow-up. — Baumgarten KM, Max C The Journal of the American Academy of Orthopaedic Surgeons (2024)
[12]
Influence of backside seating parameters and augmented baseplate components in virtual planning for reverse shoulder arthroplasty. — Werner BC, Lin A, Lenters TR, Lutton D, Creighton RA, Port J et al. Journal of shoulder and elbow surgery (2024)
[13]
Does achieving clinically important thresholds after first shoulder arthroplasty predict similar outcomes of the contralateral shoulder? — Turnbull LM, Hao KA, Srinivasan RC, Wright JO, Wright TW, Farmer KW et al. Journal of shoulder and elbow surgery (2024)
[14]
Bilateral Posterior Bone Graft Augmentation for Severe Glenoid Hypoplasia Without Instability: A Case Report. — Levins JG, Hoffman RA, Green A JBJS case connector (2023)
[15]
Outcomes of Reverse Total Shoulder Arthroplasty with Latissimus Dorsi Tendon Transfer for External Rotation Deficit: A Systematic Review and Meta-Analysis. — Hones KM, Rakauskas TR, Wright JO, King JJ, Wright TW, Werthel JD et al. JBJS reviews (2023)
[16]
Biomechanical consequences of glenoid and humeral lateralization in reverse total shoulder arthroplasty. — Liu B, Kim YK, Nakla A, Chung MS, Kwak D, McGarry MH et al. Journal of shoulder and elbow surgery (2023)
[17]
Characterizing moment arms of the coracobrachialis and short head of biceps in native shoulders and after reverse total shoulder arthroplasty during elevation and rotation: a modeling study. — Dey R, Glenday J, du Plessis JP, Sivarasu S, Roche S Journal of shoulder and elbow surgery (2023)
[18]
Does glenohumeral offset affect clinical outcomes in a lateralized reverse total shoulder arthroplasty? — Wolf GJ, Reid JJ, Rabinowitz JR, Barcel DA, Barfield WR, Eichinger JK et al. Journal of shoulder and elbow surgery (2023)
[19]
Reverse shoulder arthroplasty with and without baseplate wedge augmentation in the setting of glenoid deformity and rotator cuff deficiency-a multicenter investigation. — Levin JM, Bokshan S, Roche CP, Zuckerman JD, Wright T, Flurin PH et al. Journal of shoulder and elbow surgery (2022)
[20]
Side-to-side differences in postoperative function and patient satisfaction after bilateral total shoulder arthroplasties. — Suttmiller AMB, Elwell JA, Roche C, Carofino BC Journal of shoulder and elbow surgery (2022)
[21]
Patient satisfaction and clinical outcomes of reverse shoulder arthroplasty: a minimum of 10 years' follow-up. — Sheth MM, Heldt BL, Spell JH, Vidal EA, Laughlin MS, Morris BJ et al. Journal of shoulder and elbow surgery (2022)
[22]
Is there a difference in outcomes between the first and second surgical procedures in patients who have bilateral shoulder operations? — Erickson BJ, Shishani Y, Jones S, Wesorick B, Romeo AA, Gobezie R Journal of shoulder and elbow surgery (2022)
[23]
Outcomes of single bundle arthroscopic anterior cruciate ligament reconstruction in a limited resource setting. — Sherchan B, Rai S, Tamang N, Dhungana S, Sharma LK, Marasini RP et al. Journal of ISAKOS : joint disorders & orthopaedic sports medicine (2021)
[24]
Influence of subscapularis stiffness with glenosphere lateralization on physiological external rotation limits after reverse shoulder arthroplasty. — Linderman SE, Johnson JE, Anderson DD, Patterson BM Journal of shoulder and elbow surgery (2021)
[25]
Outcomes of posterior labral repair with or without concomitant high-grade glenohumeral chondral pathology: a retrospective cohort with minimum 2-year follow-up. — Young BL, Corpus KT, Scarola G, Trofa DP, Connor PM, Hamid N et al. Journal of shoulder and elbow surgery (2021)
[26]
Electromyographic and kinematic study of reverse total shoulder arthroplasty: an observational prospective cohort study. — Pelletier-Roy R, Ratté-Larouche M, Laurendeau S, Pelet S Journal of shoulder and elbow surgery (2021)
[27]
Lateralized versus nonlateralized glenospheres in reverse shoulder arthroplasty: a systematic review with meta-analysis. — Nunes B, Linhares D, Costa F, Neves N, Claro R, Silva MR Journal of shoulder and elbow surgery (2021)
[28]
Glenoid baseplate screw fixation in reverse shoulder arthroplasty: does locking screw position and orientation matter? — Abdic S, Lockhart J, Alnusif N, Johnson JA, Athwal GS Journal of shoulder and elbow surgery (2021)
[29]
Is limited shoulder abduction associated with poor scapulothoracic mobility after reverse shoulder arthroplasty? — Friesenbichler B, Grassi A, Grobet C, Audigé L, Wirth B Archives of orthopaedic and trauma surgery (2021)
[30]
Does having prior rotator cuff repair affect outcomes in reverse shoulder arthroplasty? A matched cohort study. — Patel MK, Stone WZ, Schoch BS, Struk AM, Farmer KW, Wright TW et al. Orthopaedics & traumatology, surgery & research : OTSR (2020)
[31]
Glenoid loosening and migration in reverse shoulder arthroplasty. — Lädermann A, Schwitzguebel AJ, Edwards TB, Godeneche A, Favard L, Walch G et al. The bone & joint journal (2019)
[32]
Biomechanical comparison of 2 augmented glenoid designs: an integrated kinematic finite element analysis. — Sabesan VJ, Lima DJL, Whaley JD, Pathak V, Zhang L Journal of shoulder and elbow surgery (2019)
[33]
Partial meniscectomy adversely affects return-to-sport outcome after anatomical double-bundle anterior cruciate ligament reconstruction. — Akada T, Yamaura I, Gupta A, Sakai H, Takahashi K, Tsuchiya A Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (2019)
[34]
Reverse shoulder arthroplasty: the role of physical therapy on the clinical outcome in the mid-term to long-term follow-up. — Uschok S, Herrmann S, Pauly S, Perka C, Greiner S Archives of orthopaedic and trauma surgery (2018)
[35]
Anterolateral Ligament Reconstruction Protects the Repaired Medial Meniscus: A Comparative Study of 383 Anterior Cruciate Ligament Reconstructions From the SANTI Study Group With a Minimum Follow-up of 2 Years. — Sonnery-Cottet B, Saithna A, Blakeney WG, Ouanezar H, Borade A, Daggett M et al. The American journal of sports medicine (2018)
[36]
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