Related Experiment Video
Updated: Dec 9, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Clinical implications of scapular notching at 2 and 5-year follow-up after reverse total shoulder arthroplasty
Robert J Shelley1, Mikalyn T DeFoor2, Stephen A Parada1
1Department of Orthopaedics, Medical College of Georgia at Augusta University Medical Center, Augusta, GA, USA.
Objective:
Scapular notching is a unique radiographic sequela of reverse total shoulder arthroplasty (rTSA) with unclear long-term clinical consequences.
Methods:
Our retrospective review of a single surgeon, single implant, primary rTSA database investigates the incidence of scapular notching at 2 and 5-year follow-up. Various patient outcome scores were also obtained.
Results:
Of 158 primary rTSAs performed, 82 (52%) patients completed 2-year and subsequent 5-year follow-up. The incidence of scapular notching at 2 and 5-years was 11.9% and 19.5%, respectively.
Conclusion:
Scapular notching negatively affects validated post-operative outcome scores, active range of motion and total complications, and furthermore increases with time.
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