Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jun 8, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Surgery for shoulder osteoarthritis.

Jasvinder A Singh¹, John Sperling, Rachelle Buchbinder

¹Department of Medicine, Birmingham VA Medical Center, Faculty Office Tower 805B, 510 20th Street South, Birmingham, USA, AL 35294.

The Cochrane Database of Systematic Reviews

|October 8, 2010

Summary

Total shoulder arthroplasty offers better shoulder function than hemiarthroplasty for osteoarthritis patients. However, no other clinical benefits were found, and more research is needed on surgical techniques and comparisons to non-surgical options.

Related Concept Videos

Muscles of the Shoulder

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

OMERACT 2020: A virtual (R)evolution.

Seminars in arthritis and rheumatism·2021

Same author

Experience and impact of crystal pyrophosphate deposition (CPPD) from a patient and caregiver perspective: A qualitative exploration from the OMERACT CPPD working group.

Seminars in arthritis and rheumatism·2021

Same author

Gout, Hyperuricaemia and Crystal-Associated Disease Network (G-CAN) common language definition of gout.

RMD open·2021

Same author

Endorsement of the OMERACT core domain set for shared decision making interventions in rheumatology trials: Results from a multi-stepped consensus-building approach.

Seminars in arthritis and rheumatism·2021

Same author

OMERACT consensus-based operational definition of contextual factors in rheumatology clinical trials: A mixed methods study.

Seminars in arthritis and rheumatism·2021

Same author

Epidemiology and Outcomes of Alcohol Use Hospitalizations in People With Gout, Rheumatoid Arthritis, Fibromyalgia, Osteoarthritis, or Low Back Pain: A National US Study.

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases·2021

Area of Science:

Orthopedic Surgery
Rheumatology
Biomedical Engineering

Background:

Surgical intervention, including shoulder arthroplasty, is considered for advanced shoulder osteoarthritis unresponsive to conservative management.
This review focuses on patients with radiographically confirmed osteoarthritis who have not found relief with analgesics and NSAIDs.

Purpose of the Study:

To evaluate the benefits and harms of surgical interventions for shoulder osteoarthritis.
To compare different surgical techniques and their outcomes in patients with shoulder osteoarthritis.

Main Methods:

A systematic search was conducted across multiple databases including CENTRAL, MEDLINE, CINAHL, SPORTdiscus, EMBASE, and Web of Science.
Included studies were randomized or quasi-randomized clinical trials comparing surgical techniques against placebo, sham surgery, non-surgical options, or other surgical methods.

Related Experiment Videos

Last Updated: Jun 8, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Patient-reported outcomes such as pain, function, quality of life, and revision rates were analyzed.

Main Results:

Seven studies with 238 patients were analyzed. No studies compared surgery to sham or placebo.
Total shoulder arthroplasty (TSA) demonstrated statistically significant better functional scores compared to hemiarthroplasty at 24-34 months.
No significant differences were found between TSA and hemiarthroplasty for pain, quality of life, or adverse events. A trend towards higher revision rates with hemiarthroplasty was observed.

Conclusions:

Total shoulder arthroplasty appears to provide superior shoulder function compared to hemiarthroplasty, with no other significant clinical advantages identified.
Further research is required to compare various surgical components and techniques for shoulder osteoarthritis.
There is a critical need for studies comparing shoulder surgery against sham, placebo, and non-surgical treatments.