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

Related Concept Videos

You might also read

Related Articles

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

Sort by

Same author

Comparing clinical and functional outcomes following anatomic total shoulder arthroplasty based on humeral component length (Equinoxe; Exactech, Inc.).

Journal of shoulder and elbow surgery·2025

Same author

Upper Extremity Surgeon's Guide to the Evaluation of the Shoulder Girdle and Diagnosis of Associated Pathology.

The Journal of the American Academy of Orthopaedic Surgeons·2025

Same author

Cost-effectiveness of rotator cuff repair based on modern constructs, tear size, and implant cost at 1, 5, and 10 years.

JSES international·2025

Same author

Male National Basketball Association G-League and Collegiate Basketball Athletes Have a High Prevalence of Radiographic Ankle Abnormalities.

Arthroscopy, sports medicine, and rehabilitation·2025

Same author

Clinical outcomes validate the RAND/UCLA appropriateness criteria algorithm for anatomical total shoulder arthroplasty for streamlining the clinical decision-making process.

The bone & joint journal·2024

Same author

Does matching glenosphere size to patient height improve outcomes following reverse total shoulder arthroplasty?

Shoulder & elbow·2024

Same journal

Incidence, Risk Factors, Management, and Nonunion Rates of Pediatric Scaphoid Fractures: A National Database Study.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same journal

Sex, Racial, and Ethnic Diversity of US Musculoskeletal Oncology Fellows, a 10-year Analysis.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same journal

One and Done: A Retrospective Analysis of Radiographic Overuse in Pediatric Clavicle Fractures.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same journal

Perioperative Ketorolac Is Associated With Lower Mortality After Surgically Treated Hip Fracture in Older Adults.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same journal

Increased 30-Day Readmission Rates in Total Knee Arthroplasty Patients Using Hypoallergenic Implants.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same journal

Durability of One- and Two-Level Lumbar Fusion Surgeries: A Survivorship Analysis Based on Revision Surgery Rates.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jan 11, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Prevalence of Appropriate Anatomic Total Shoulder Arthroplasty in a Large Multicenter US Cohort Using a RAND/UCLA

Krishna Mandalia¹, Stephen Le Breton, Christopher Roche

¹From the New England Baptist Hospital, Boston, MA (Mandalia, Le Breton, Dr. Shah); the Tufts University School of Medicine, Boston, MA (Mandalia, Le Breton); the New England Shoulder and Elbow Center, Boston, MA (Mandalia, Le Breton, Ives, Dr. Shah); and the Exactech Inc, Gainesville, FL (Roche).

Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews

|November 12, 2025

Summary

This summary is machine-generated.

Many patients undergoing anatomic total shoulder arthroplasty (aTSA) have unclear candidacy. This study found a majority of patients were inconclusive, highlighting variability in aTSA indications.

More Related Videos

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Related Experiment Videos

Last Updated: Jan 11, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Area of Science:

Orthopedic surgery
Arthroplasty
Shoulder reconstruction

Background:

Patient selection for anatomic total shoulder arthroplasty (aTSA) is challenging due to presentation variability.
Existing appropriateness criteria require refinement to better guide aTSA candidacy.

Purpose of the Study:

To evaluate the prevalence of inappropriate, appropriate, and inconclusive candidacy for aTSA using a modified appropriateness use criteria algorithm.
To identify factors contributing to the variability in aTSA indications.

Main Methods:

A multicenter database was used to assess preoperative outcomes and demographics of patients undergoing primary aTSA.
A validated appropriateness use criteria algorithm categorized patients into 'inappropriate,' 'inconclusive,' or 'appropriate' groups.

Main Results:

Of 774 patients, 58.3% were 'inconclusive,' 23.9% 'appropriate,' and 17.8% 'inappropriate.'
'Appropriate' patients had worse preoperative pain and functional scores than 'inconclusive' or 'inappropriate' groups.
No significant differences in injection use or analgesic consumption were found across groups.

Conclusions:

A high proportion of 'inconclusive' cases suggests a lack of consensus in aTSA vs. reverse TSA candidacy.
Factors like glenoid morphology and prior rotator cuff repair contribute to decision-making debates.
The study aims to streamline patient evaluation and highlight real-world variations in aTSA indications.