Clinical relevance, classification, and risk factors for stress shielding in total shoulder arthroplasty: a systematic review and meta-analysis of clinical outcomes
Stress shielding is a frequent radiographic finding in TSA and RTSA. Although statistically significant, its clinical impact appears limited, and revision rates remain unaffected in the mid-term. Avoiding high FRs and careful implant selection may help reduce its occurrence and preserve bone stock.
Authors
- Moritz Lebe (ORCID: https://orcid.org/0000-0001-8690-960X)
- Manuel Kramer (ORCID: https://orcid.org/0000-0001-6267-1609)
- Bernhard Jost
- D Previtali
Institutions
- Kantonsspital St. Gallen (CH)
- Ente Ospedaliero Cantonale (CH)
Publication Details
- Journal
- EFORT Open Reviews
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1530/eor-2025-0139
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00