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Surgical Approach for RSA has Little or no Influence on Scapular Inclination and Glenoid Baseplate Tilt Relative to the Horizontal

Purpose Determine whether reverse shoulder arthroplasty (RSA) glenoid baseplate tilt is influenced by surgical approach and/or associated with functional scores. Methods In total, 501 shoulders (483 patients) who underwent RSA, by anterosuperior (AS, n = 88) or deltopectoral (DP, n = 413) approach....

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Bibliographic Details
Published in:Journal of shoulder and elbow arthroplasty 2023, Vol.7, p.24715492231192227-24715492231192227
Main Authors: Cuinet, Thomas, Nérot, Cécile, Godenèche, Arnaud, Peduzzi, Lisa, van Rooij, Floris, Nover, Luca, Hibon, Aude, Saffarini, Mo
Format: Article
Language:English
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Summary:Purpose Determine whether reverse shoulder arthroplasty (RSA) glenoid baseplate tilt is influenced by surgical approach and/or associated with functional scores. Methods In total, 501 shoulders (483 patients) who underwent RSA, by anterosuperior (AS, n = 88) or deltopectoral (DP, n = 413) approach. Preoperative and immediate postoperative anteroposterior and scapular Y-view radiographs were used to measure: Inclination of the supraspinatus fossa's floor relative to the horizontal (Sigma angle), inclination of the glenoid fossa line (or glenoid baseplate surface) relative to the horizontal (beta-h angle) or to the supraspinatus fossa's floor (beta-s angle). Results Sigma and beta-h were significantly greater for shoulders operated by DP approach, both preoperatively (P 
ISSN:2471-5492
2471-5492
DOI:10.1177/24715492231192227