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Related Experiment Video

Updated: Mar 26, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

44.2K

Expanding roles for reverse shoulder arthroplasty.

Peter N Chalmers1, Jay D Keener2

  • 1Department of Orthopaedic Surgery, Washington University in Saint Louis, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA. p.n.chalmers@gmail.com.

Current Reviews in Musculoskeletal Medicine
|January 25, 2016
PubMed
Summary

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Reverse total shoulder arthroplasty (RTSA) offers significant improvements in shoulder pain, range of motion, and function. This versatile procedure is increasingly used for various complex shoulder conditions, showing promising short- to mid-term results.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Musculoskeletal research

Background:

  • Reverse total shoulder arthroplasty (RTSA) was introduced in the USA in 2003.
  • Initially indicated for elderly, low-demand patients with rotator cuff tear arthropathy.
  • Growing evidence supports its use in a wider range of shoulder pathologies.

Purpose of the Study:

  • To review the expanding indications and outcomes of RTSA.
  • To assess the effectiveness of RTSA for complex shoulder conditions.
  • To evaluate the current role of RTSA in shoulder reconstruction.

Main Methods:

  • Review of clinical literature on RTSA outcomes.
  • Analysis of short- and mid-term follow-up data.
  • Synthesis of surgical observations regarding RTSA efficacy.
Keywords:
Glenohumeral osteoarthritisProximal humerus fractureReverse total shoulder arthroplastyRevision shoulder arthroplastyRotator cuff tearRotator cuff tear arthropathy

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Last Updated: Mar 26, 2026

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Published on: July 5, 2011

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Main Results:

  • RTSA demonstrates remarkable improvements in pain, range of motion, and function.
  • Successful application in treating irreparable rotator cuff tears and glenohumeral osteoarthritis.
  • Effective for acute fractures, post-traumatic sequelae, neoplasms, and inflammatory arthropathy.
  • Positive outcomes reported in younger patients and revisions of failed shoulder arthroplasty.

Conclusions:

  • RTSA is increasingly utilized for diverse and challenging shoulder pathologies.
  • Short- and mid-term results suggest RTSA is a viable treatment option in experienced hands.
  • Further long-term outcome data is anticipated for RTSA efficacy.