{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T19:52:21Z","timestamp":1792353141367,"version":"4.4.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Skeletal Radiol"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1007\/s00256-026-05295-z","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:08:08Z","timestamp":1783577288000},"page":"2485-2494","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preoperative deltoid CT attenuation predicts clinical outcomes and influences treatment selection in geriatric proximal humerus fractures"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9908-0503","authenticated-orcid":false,"given":"Mehmet Ali","family":"Bozca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9694-2559","authenticated-orcid":false,"given":"Sinan","family":"Diril","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8561-7736","authenticated-orcid":false,"given":"Yusuf","family":"Altuntas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6205-1207","authenticated-orcid":false,"given":"Enver","family":"Ipek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-9644","authenticated-orcid":false,"given":"Malik","family":"\u00c7elik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7493-391X","authenticated-orcid":false,"given":"Cemal","family":"Kural","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"5295_CR1","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1002\/jor.25392","volume":"41","author":"J Doll","year":"2023","unstructured":"Doll J, Neide A, Mick P, Brunnemer U, Schmidmaier G, Fischer C. Functional outcome and CEUS\u2010assessed deltoid muscle vitality after fracture\u2010specific versus standard prosthetic design in reverse shoulder arthroplasty for trauma. J Orthop Res. 2023;41:489\u201399. https:\/\/doi.org\/10.1002\/jor.25392.","journal-title":"J Orthop Res"},{"key":"5295_CR2","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1177\/1758573220925046","volume":"14","author":"SG McClatchy","year":"2022","unstructured":"McClatchy SG, Heise GM, Mihalko WM, Azar FM, Smith RA, Witte DH, et al. Effect of deltoid volume on range of motion and patient-reported outcomes following reverse total shoulder arthroplasty in rotator cuff-intact and rotator cuff-deficient conditions. Shoulder Elbow. 2022;14:24\u20139. https:\/\/doi.org\/10.1177\/1758573220925046.","journal-title":"Shoulder Elbow"},{"key":"5295_CR3","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.1016\/j.jseint.2025.05.035","volume":"9","author":"L O\u2019Dwyer","year":"2025","unstructured":"O\u2019Dwyer L, Davey MS, Cassidy JT. Sarcopenia of the deltoid as an indicator of outcome following reverse total shoulder arthroplasty: a systematic review and meta-analysis. JSES Int. 2025;9:1745\u201353. https:\/\/doi.org\/10.1016\/j.jseint.2025.05.035.","journal-title":"JSES Int"},{"key":"5295_CR4","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1007\/s11999-014-4047-2","volume":"473","author":"BP Wiater","year":"2015","unstructured":"Wiater BP, Koueiter DM, Maerz T, Moravek JE, Yonan S, Marcantonio DR, et al. Preoperative deltoid size and fatty infiltration of the deltoid and rotator cuff correlate to outcomes after reverse total shoulder arthroplasty. Clin Orthop Relat Res. 2015;473:663\u201373. https:\/\/doi.org\/10.1007\/s11999-014-4047-2.","journal-title":"Clin Orthop Relat Res"},{"key":"5295_CR5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0174361","volume":"12","author":"JP Yoon","year":"2017","unstructured":"Yoon JP, Seo A, Kim JJ, Lee C-H, Baek S-H, Kim SY, et al. Deltoid muscle volume affects clinical outcome of reverse total shoulder arthroplasty in patients with cuff tear arthropathy or irreparable cuff tears. PLoS ONE. 2017;12: e0174361. https:\/\/doi.org\/10.1371\/journal.pone.0174361.","journal-title":"PLoS ONE"},{"key":"5295_CR6","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00402-009-1001-y","volume":"130","author":"SH Greiner","year":"2010","unstructured":"Greiner SH, Back DA, Herrmann S, Perka C, Asbach P. Degenerative changes of the deltoid muscle have impact on clinical outcome after reversed total shoulder arthroplasty. Arch Orthop Trauma Surg. 2010;130:177\u201383. https:\/\/doi.org\/10.1007\/s00402-009-1001-y.","journal-title":"Arch Orthop Trauma Surg"},{"key":"5295_CR7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273203","volume":"17","author":"ACJ Smith","year":"2022","unstructured":"Smith ACJ, Tse JJ, Waungana TH, Bott KN, Kuczynski MT, Michalski AS, et al. Internal calibration for opportunistic computed tomography muscle density analysis. PLoS ONE. 2022;17: e0273203. https:\/\/doi.org\/10.1371\/journal.pone.0273203.","journal-title":"PLoS ONE"},{"key":"5295_CR8","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13206038","volume":"13","author":"T Hatta","year":"2024","unstructured":"Hatta T, Mashiko R. Quantified deltoid muscle stiffness can predict improved muscle strength for elevation following reverse shoulder arthroplasty. J Clin Med. 2024;13: 6038. https:\/\/doi.org\/10.3390\/jcm13206038.","journal-title":"J Clin Med"},{"key":"5295_CR9","doi-asserted-by":"publisher","first-page":"1660","DOI":"10.1016\/j.jseint.2025.04.037","volume":"9","author":"WG Blakeney","year":"2025","unstructured":"Blakeney WG, Shao W, Werthel J-D, Wang A, Bauer S. Normalized preoperative muscle volume correlates with shoulder strength at minimum 2 years after lateralized reverse total shoulder arthroplasty. JSES Int. 2025;9:1660\u20137. https:\/\/doi.org\/10.1016\/j.jseint.2025.04.037.","journal-title":"JSES Int"},{"key":"5295_CR10","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051273","volume":"13","author":"H Rajabzadeh-Oghaz","year":"2024","unstructured":"Rajabzadeh-Oghaz H, Kumar V, Berry DB, Singh A, Schoch BS, Aibinder WR, et al. Impact of deltoid computer tomography image data on the accuracy of machine learning predictions of clinical outcomes after anatomic and reverse total shoulder arthroplasty. J Clin Med. 2024;13: 1273. https:\/\/doi.org\/10.3390\/jcm13051273.","journal-title":"J Clin Med"},{"key":"5295_CR11","doi-asserted-by":"publisher","first-page":"2087","DOI":"10.1016\/j.jseint.2025.06.014","volume":"9","author":"H Rajabzadeh-Oghaz","year":"2025","unstructured":"Rajabzadeh-Oghaz H, Elwell J, Schoch B, Aibinder W, Gobbato B, Wessell D, et al. Radiomic analysis of the deltoid and scapula: identification of computed tomography-image based measurements predictive of pain, motion, and function before and after shoulder arthroplasty. JSES Int. 2025;9:2087\u201397. https:\/\/doi.org\/10.1016\/j.jseint.2025.06.014.","journal-title":"JSES Int"},{"key":"5295_CR12","doi-asserted-by":"publisher","unstructured":"Liang Y, Yang L, Zhang J, Hu J, He J, Chen P, et al. Association between deltoid muscle density and proximal humeral fracture in elderly patients. Orthop Rev (Pavia). 2024;16.  https:\/\/doi.org\/10.52965\/001c.94103.","DOI":"10.52965\/001c.94103"},{"key":"5295_CR13","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.jor.2020.04.017","volume":"22","author":"RA Smith","year":"2020","unstructured":"Smith RA, Woolley K, Mazzocca A, Feinn R, Cote M, Gomlinski G, et al. Kinematics and EMG activity in reverse total shoulder arthroplasty. J Orthop. 2020;22:165\u20139. https:\/\/doi.org\/10.1016\/j.jor.2020.04.017.","journal-title":"J Orthop"},{"key":"5295_CR14","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1007\/s00330-025-11836-2","volume":"36","author":"B Bogner","year":"2025","unstructured":"Bogner B, Molotkov A, Jaeger M, Hupperich A, Wagner FC, L\u00f6ffler MT, et al. Evaluation of deltoid muscle quality in reverse shoulder arthroplasty: correlation of MRI findings with postoperative function and strength. Eur Radiol. 2025;36:484\u201395. https:\/\/doi.org\/10.1007\/s00330-025-11836-2.","journal-title":"Eur Radiol"},{"key":"5295_CR15","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12196184","volume":"12","author":"A Fenwick","year":"2023","unstructured":"Fenwick A, Reichel T, Eden L, Schmalzl J, Meffert R, Plumhoff P, et al. Deltoid muscle tension alterations post reverse shoulder arthroplasty: an investigation using shear wave elastography. J Clin Med. 2023;12: 6184. https:\/\/doi.org\/10.3390\/jcm12196184.","journal-title":"J Clin Med"},{"key":"5295_CR16","doi-asserted-by":"publisher","first-page":"4","DOI":"10.21037\/aoj-24-17","volume":"10","author":"MY Fares","year":"2025","unstructured":"Fares MY, Boufadel P, Berg J, Daher M, Haikal E, Abboud JA. Perioperative deltoid pathologies in the setting of reverse shoulder arthroplasty: a narrative review. Ann Joint. 2025;10:4\u20134. https:\/\/doi.org\/10.21037\/aoj-24-17.","journal-title":"Ann Joint"},{"key":"5295_CR17","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1053\/j.sart.2022.06.006","volume":"32","author":"M Aydin","year":"2022","unstructured":"Aydin M, Capkin S, Yilmaz M. The influence of deltoid tensioning on functional outcomes following reverse shoulder arthroplasty. Semin Arthroplasty JSES. 2022;32:736\u201341. https:\/\/doi.org\/10.1053\/j.sart.2022.06.006.","journal-title":"Semin Arthroplasty JSES"},{"key":"5295_CR18","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1016\/j.jse.2020.07.007","volume":"30","author":"J Pitocchi","year":"2021","unstructured":"Pitocchi J, Plessers K, Wirix-Speetjens R, Debeer P, van Lenthe GH, Jonkers I, et al. Automated muscle elongation measurement during reverse shoulder arthroplasty planning. J Shoulder Elbow Surg. 2021;30:561\u201371. https:\/\/doi.org\/10.1016\/j.jse.2020.07.007.","journal-title":"J Shoulder Elbow Surg"},{"key":"5295_CR19","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1007\/s00402-019-03281-w","volume":"140","author":"C Fischer","year":"2020","unstructured":"Fischer C, Flammer S, Kauczor H-U, Zeifang F, Schmidmaier G, Kunz P. Preoperative deltoid assessment by contrast-enhanced ultrasound (CEUS) as predictor for shoulder function after reverse shoulder arthroplasty: a prospective pilot study. Arch Orthop Trauma Surg. 2020;140:1001\u201312. https:\/\/doi.org\/10.1007\/s00402-019-03281-w.","journal-title":"Arch Orthop Trauma Surg"},{"key":"5295_CR20","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.jse.2016.04.012","volume":"26","author":"C Fischer","year":"2017","unstructured":"Fischer C, Krammer D, Hug A, Weber M-A, Kauczor H-U, Krix M, et al. Dynamic contrast-enhanced ultrasound and elastography assess deltoid muscle integrity after reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2017;26:108\u201317. https:\/\/doi.org\/10.1016\/j.jse.2016.04.012.","journal-title":"J Shoulder Elbow Surg"},{"key":"5295_CR21","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10020175","volume":"10","author":"J-P Imiolczyk","year":"2021","unstructured":"Imiolczyk J-P, Moroder P, Scheibel M. Fracture-specific and conventional stem designs in reverse shoulder arthroplasty for acute proximal humerus fractures\u2014a retrospective, observational study. J Clin Med. 2021;10: 175. https:\/\/doi.org\/10.3390\/jcm10020175.","journal-title":"J Clin Med"},{"key":"5295_CR22","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1053\/j.sart.2022.07.010","volume":"32","author":"FA de Boer","year":"2022","unstructured":"de Boer FA, Pasma JH, Huijgen WHF, Huijsmans PE, Flikweert PE. Long-term relation between deltoid muscle volume and clinical outcomes in a reverse shoulder arthroplasty. Semin Arthroplasty JSES. 2022;32:664\u201370. https:\/\/doi.org\/10.1053\/j.sart.2022.07.010.","journal-title":"Semin Arthroplasty JSES"},{"key":"5295_CR23","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1053\/j.sart.2022.12.004","volume":"33","author":"JR Hill","year":"2023","unstructured":"Hill JR, Velicki K, Chamberlain AM, Aleem AW, Keener JD, Zmistowski BM. Rotator cuff and deltoid muscle changes following reverse total shoulder arthroplasty. Semin Arthroplasty JSES. 2023;33:304\u201314. https:\/\/doi.org\/10.1053\/j.sart.2022.12.004.","journal-title":"Semin Arthroplasty JSES"}],"container-title":["Skeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-026-05295-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00256-026-05295-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-026-05295-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:36:40Z","timestamp":1787816200000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00256-026-05295-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,9]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["5295"],"URL":"https:\/\/doi.org\/10.1007\/s00256-026-05295-z","relation":{},"ISSN":["0364-2348","1432-2161"],"issn-type":[{"value":"0364-2348","type":"print"},{"value":"1432-2161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,9]]},"assertion":[{"value":"2 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 June 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 July 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Institutional Review Board of the Human Research Ethics Committee of the University of Health Sciences Bak\u0131rk\u00f6y Dr. Sadi Konuk Hospital (Approval No.: 2026-01-11 protocol code:2025\/2). All participating patients provided informed consent.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Due to the retrospective design of the study, the requirement for informed consent was waived by the institutional review board.","order":2,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The ChatGPT-5.3 software has been used for the English editing of the article. After using the ChatGPT-5.3 software, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.","order":4,"name":"Ethics","label":"Artificial intelligence","group":{"name":"EthicsHeading","label":"Declarations"}}]}}