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Updated: Feb 15, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Review and clinical presentation in reverse shoulder arthroplasty in deltoid palsy
Gwénolé Kermarrec1, Jean David Werthel2, Pablo Canales3
1Sorbonne Université, Service de Chirurgie orthopédique et traumatologique, APHP, Hopital Saint Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France. dr.kermarrec@gmail.com.
Abstract:
Deltoid palsy is a classical contraindication for reverse shoulder arthroplasty (RSA). However, in cases associating axillary nerve palsy and rotator cuff tear or glenohumeral arthritis, few options remain. We present a case in which combining RSA with transfer of the pectoralis major and upper and middle trapezius transfer provided satisfactory results in a patient suffering of both an irreparable rotator cuff tear and a deltoid palsy.Level of evidence IV.
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