{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:51:25Z","timestamp":1792083085487,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate outcomes, return\u2010to\u2010activity and work after reverse total shoulder arthroplasty in patients aged 65 years and younger. We hypothesised that patients would achieve functional improvement, with high rates of return to activity and return to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted for patients aged 65 years and younger who underwent primary reverse total shoulder arthroplasty (2011\u20132022) with a minimum 24\u2010month follow\u2010up. Outcomes included the American Shoulder and Elbow Surgeons score, pain visual analogue scale, Single Assessment Numeric Evaluation, Quick Disabilities of the Arm, Shoulder and Hand outcome measure, and 12\u2010Item Short Form Health Survey. Return to activity and work were also assessed with questionnaires. Complications, failures and correlations between age and outcomes were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010two shoulders in 68 patients (80% of the original cohort) (mean age, 58.5\u2009\u00b1\u20098.5 years) were available at mean follow\u2010up of 6.2\u2009\u00b1\u20092.4 years. American Shoulder and Elbow Surgeons score (54.9 vs. 89.9), pain visual analogue scale (4 vs. 0), Single Assessment Numeric Evaluation (49 vs. 84), Quick Disabilities of the Arm, Shoulder and Hand outcome measure (40.9 vs. 13.6) and 12\u2010Item Short Form Health Survey Physical Component (39.6 vs. 51.1) improved postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). For the American Shoulder and Elbow Surgeons score, 80% met the minimal clinically important difference and 64% met the patient acceptable symptom state. Younger age correlated with higher post\u2010operative Single Assessment Numeric Evaluation scores (rho\u2009=\u2009\u20130.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). No or minimal limitations in recreational and sportive activities were observed in 89% of patients. 72% returned to work within 4 weeks, and 95% reported no or slight work limitation, with greater difficulty among manual labourers. One failure (1%) and two complications (3%) occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reverse total shoulder arthroplasty in patients aged 65 years and younger leads to improved functional outcomes and high patient satisfaction at mid\u2010term follow\u2010up. Furthermore, it enables high rates of return to both activity and work with low rates of complication and failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70820","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:35:32Z","timestamp":1782995732000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mid\u2010term outcomes in patients younger than 65 years undergoing reverse total shoulder arthroplasty demonstrate favourable functional results with high rates of return to activity and work"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4098-2779","authenticated-orcid":false,"given":"Lorenz","family":"Fritsch","sequence":"first","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"},{"name":"Department of Sports Orthopaedics Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0561-8776","authenticated-orcid":false,"given":"Colby","family":"Wollenman","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2843-7327","authenticated-orcid":false,"given":"Michael","family":"Nocek","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6503-248X","authenticated-orcid":false,"given":"Marilee","family":"Horan","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2912-7569","authenticated-orcid":false,"given":"Brendon","family":"Mitchell","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9039-9163","authenticated-orcid":false,"given":"Grant","family":"Dornan","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1187-9559","authenticated-orcid":false,"given":"Alan Villegas","family":"Meza","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2649-8420","authenticated-orcid":false,"given":"Maximilian","family":"Hinz","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute  Vail Colorado USA"},{"name":"Department of Sports Orthopaedics Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7899-6299","authenticated-orcid":false,"given":"Marco\u2010Christopher","family":"Rupp","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopaedics Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8298-3746","authenticated-orcid":false,"given":"Peter","family":"Millett","sequence":"additional","affiliation":[{"name":"The Steadman Clinic  Vail Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.04.029"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14020546"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00223"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001114"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.06.009"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2025.03.022"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.01.024"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.09.016"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.11.022"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.11.016"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00095"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000270"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.06.005"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515597673"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04344-1"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.02.004"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.02.001"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02694-y"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.07.010"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-04281-5"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.03.024"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.11.008"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.10.028"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.02.024"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.12.014"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.09.051"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.07.028"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.07.014"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2025.05.035"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.107B9.BJJ-2024-1587.R2"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.12.025"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.05.012"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2025.02.038"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.06.018"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.03.034"}],"container-title":["Journal of Experimental Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70820","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jeo2.70820","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:03:40Z","timestamp":1792080220000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/jeo2.70820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/jeo2.70820"],"URL":"https:\/\/doi.org\/10.1002\/jeo2.70820","archive":["Portico"],"relation":{},"ISSN":["2197-1153","2197-1153"],"issn-type":[{"value":"2197-1153","type":"print"},{"value":"2197-1153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-03-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70820"}}