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Updated: Oct 1, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Postoperative stiffness after reverse total shoulder arthroplasty.

Mohammad Ghoraishian¹, Brian W Hill¹, Thema Nicholson¹

¹Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Shoulder & Elbow

|March 10, 2022

Summary

This summary is machine-generated.

Stiffness after reverse shoulder arthroplasty is common, affecting 25% of patients at one year. While it often improves, implant choice may influence outcomes. Stiffness did not impact patient-reported results.

Keywords:

Shoulder stiffness implant design patient outcomes patient satisfaction reverse total shoulder arthroplasty risk factors

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Last Updated: Oct 1, 2025

Reverse Total Shoulder Arthroplasty

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Published on: July 5, 2011

Rat Model of Adhesive Capsulitis of the Shoulder

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Published on: September 28, 2018

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Published on: September 7, 2022

Area of Science:

Orthopedic surgery
Biomedical engineering
Musculoskeletal research

Background:

Reverse shoulder arthroplasty (RSA) is a common procedure for complex shoulder joint problems.
Postoperative stiffness can be a significant complication affecting patient function and satisfaction.

Purpose of the Study:

To determine the incidence and risk factors for stiffness following RSA.
To investigate the impact of stiffness on patient-reported outcomes (PROs) one year after surgery.

Main Methods:

Prospective follow-up of 76 patients undergoing RSA for one year.
Measurement of passive range of motion (ROM) preoperatively and postoperatively.
Definition of stiffness as passive forward elevation <100° or external rotation <30°.

Main Results:

Stiffness prevalence was 47% at 3 months, 31% at 6 months, and 25% at 1 year.
Preoperative stiffness predicted 3-month stiffness.
Smaller and less lateralized glenospheres were associated with 1-year stiffness (p=0.03, p=0.024).
Stiffness did not correlate with 1-year PROs.

Conclusions:

Stiffness is a frequent complication after RSA but often resolves by one year.
Implant characteristics, such as glenosphere size and lateralization, may influence ROM.
Despite stiffness, PROs at one year were not significantly affected.