Reduced scapular neck impingement in 145° neck-shaft angle semi-inlay compared with 155° neck-shaft angle inlay reverse total shoulder arthroplasty during active external rotation

The distance between the scapular neck and the polyethylene insert during active external rotation was greater in a 145° NSA semi-inlay rTSA compared to a 155° NSA inlay rTSA. This study supports the notion that a 145° NSA semi-inlay rTSA significantly reduces scapular notching compared to a 155° NSA inlay rTSA. However, scapular notching, especially caused by maximum external rotation, should still be considered in shoulders with a 145° NSA semi-inlay rTSA as well, as the distance significantly decreases during external rotation.

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Publication Details

Journal
JSES International
Published
2025-03-29
DOI
https://doi.org/10.1016/j.jseint.2025.03.001
Primary Topic
Shoulder Injury and Treatment
Type
article
Field-Weighted Citation Impact
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article

Reduced scapular neck impingement in 145° neck-shaft angle semi-inlay compared with 155° neck-shaft angle inlay reverse total shoulder arthroplasty during active external rotation

Scott A. Banks, Hayato Ryoki, Itaru Kawashima, Keisuke Matsuki et al.
JSES International
Shoulder Injury and Treatment
article

Reduced scapular neck impingement in 145° neck-shaft angle semi-inlay compared with 155° neck-shaft angle inlay reverse total shoulder arthroplasty during active external rotation

Scott A. Banks, Hayato Ryoki, Itaru Kawashima, Keisuke Matsuki, Thomas W. Wright, Norimasa Takahashi, Ryo Haraguchi
article en

Abstract

The distance between the scapular neck and the polyethylene insert during active external rotation was greater in a 145° NSA semi-inlay rTSA compared to a 155° NSA inlay rTSA. This study supports the notion that a 145° NSA semi-inlay rTSA significantly reduces scapular notching compared to a 155° NSA inlay rTSA. However, scapular notching, especially caused by maximum external rotation, should still be considered in shoulders with a 145° NSA semi-inlay rTSA as well, as the distance significantly decreases during external rotation.

JSES InternationalVol. 9(4)
University of Florida Health (US), University of Florida (US), Anjo Kosei Hospital (JP), Funabashi Orthopaedic Hospital (JP)
Openalex Percentile: Top 90%
Shoulder Injury and Treatment
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