{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:54:22Z","timestamp":1770512062462,"version":"3.49.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"Exactech, Inc"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2020,2]]},"DOI":"10.1016\/j.jse.2019.07.022","type":"journal-article","created":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T08:34:27Z","timestamp":1570610067000},"page":"347-354","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["The role of greater tuberosity healing in reverse shoulder arthroplasty: a finite element analysis"],"prefix":"10.1016","volume":"29","author":[{"given":"Vani J.","family":"Sabesan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego J.L.","family":"Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew C.","family":"Stankard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio","family":"Drummond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William W.","family":"Liou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2019.07.022_bib1","first-page":"1","article-title":"The influence of rotator cuff tears on muscle and joint-contact loading after reverse total shoulder arthroplasty","author":"Ackland","year":"2018","journal-title":"J Orthop Res"},{"key":"10.1016\/j.jse.2019.07.022_bib2","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1016\/j.jse.2013.09.012","article-title":"Reverse shoulder arthroplasty for acute proximal humerus fractures: a systematic review","volume":"23","author":"Anakwenze","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib3","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1302\/2058-5241.1.160003","article-title":"Complications in reverse shoulder arthroplasty","volume":"1","author":"Barco","year":"2017","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.jse.2019.07.022_bib4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s12306-014-0322-3","article-title":"Hemiarthroplasty versus reverse shoulder arthroplasty: comparative study of functional and radiological outcomes in the treatment of acute proximal humerus fracture","volume":"98","author":"Baudi","year":"2014","journal-title":"Musculoskelet Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib5","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1067\/mse.2002.124527","article-title":"Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus","volume":"11","author":"Boileau","year":"2002","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib6","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.jse.2013.04.018","article-title":"Can surgeons predict what makes a good hemiarthroplasty for fracture?","volume":"22","author":"Boileau","year":"2013","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib7","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1007\/s11517-013-1099-5","article-title":"Clinical applications of musculoskeletal modelling for the shoulder and upper limb","volume":"51","author":"Bolsterlee","year":"2013","journal-title":"Med Biol Eng Comput"},{"key":"10.1016\/j.jse.2019.07.022_bib8","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1302\/0301-620X.89B4.18435","article-title":"Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly: a prospective review of 43 cases with a short-term follow-up","volume":"89","author":"Bufquin","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.jse.2019.07.022_bib9","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jse.2013.08.015","article-title":"Early dislocation after reverse total shoulder arthroplasty","volume":"23","author":"Chalmers","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib10","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.1016\/j.jse.2018.04.015","article-title":"Instability after reverse total shoulder arthroplasty","volume":"27","author":"Cheung","year":"2018","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib11","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jse.2018.07.019","article-title":"Three- and four-part displaced proximal humeral fractures in patients older than 70 years: reverse shoulder arthroplasty or nonsurgical treatment?","volume":"28","author":"Chivot","year":"2019","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib12","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1016\/j.jse.2016.11.034","article-title":"Reverse shoulder arthroplasty for four-part proximal humerus fracture in elderly patients: can a healed tuberosity improve the functional outcomes?","volume":"26","author":"Chun","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib13","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1302\/0301-620X.96B3.33316","article-title":"The spectrum of fractures in the elderly","volume":"96-B","author":"Court-Brown","year":"2014","journal-title":"Bone Joint J"},{"key":"10.1016\/j.jse.2019.07.022_bib14","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.2106\/JBJS.L.01637","article-title":"Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients","volume":"95","author":"Cuff","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2019.07.022_bib15","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jbiomech.2015.11.019","article-title":"Can shoulder joint reaction forces be estimated by neural networks?","volume":"49","author":"de Vries","year":"2016","journal-title":"J Biomech"},{"key":"10.1016\/j.jse.2019.07.022_bib16","doi-asserted-by":"crossref","first-page":"3308","DOI":"10.1002\/jor.24131","article-title":"Development and validation of a muscle wrapping model applied to intact and reverse total shoulder arthroplasty shoulders","volume":"36","author":"Elwell","year":"2018","journal-title":"J Orthop Res"},{"key":"10.1016\/j.jse.2019.07.022_bib17","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1097\/BOT.0000000000000224","article-title":"Reverse total shoulder arthroplasty versus hemiarthroplasty for proximal humeral fractures: a systematic review","volume":"29","author":"Ferrel","year":"2015","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2019.07.022_bib18","doi-asserted-by":"crossref","first-page":"e299","DOI":"10.1016\/j.jse.2015.04.014","article-title":"Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: The \u201cblack and tan\u201d technique","volume":"24","author":"Formaini","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib19","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jse.2012.03.011","article-title":"Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty","volume":"22","author":"Gallinet","year":"2013","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib20","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.otsr.2008.09.002","article-title":"Three or four parts complex proximal humerus fractures: hemiarthroplasty versus reverse prosthesis: a comparative study of 40 cases","volume":"95","author":"Gallinet","year":"2009","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.jse.2019.07.022_bib21","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.otsr.2018.04.025","article-title":"Is reverse total shoulder arthroplasty more effective than hemiarthroplasty for treating displaced proximal humerus fractures in older adults? A systematic review and meta-analysis","volume":"104","author":"Gallinet","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.jse.2019.07.022_bib22","doi-asserted-by":"crossref","first-page":"3615","DOI":"10.1007\/s11999-015-4526-0","article-title":"Implant design variations in reverse total shoulder arthroplasty influence the required deltoid force and resultant joint load","volume":"473","author":"Giles","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2019.07.022_bib23","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1016\/j.jse.2016.02.024","article-title":"Reverse total shoulder arthroplasty for acute head-splitting, 3-and 4-part fractures of the proximal humerus in the elderly","volume":"25","author":"Grubhofer","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib24","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5435\/JAAOS-D-15-00240","article-title":"Management of acute proximal humeral fractures","volume":"25","author":"Kancherla","year":"2017","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib25","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1097\/BOT.0b013e3181f22088","article-title":"Reverse shoulder prosthesis for acute four-part fracture: tuberosity fixation using a horseshoe graft","volume":"25","author":"Levy","year":"2011","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2019.07.022_bib26","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.jse.2016.09.045","article-title":"Effect of lateralized design on muscle and joint reaction forces for reverse shoulder arthroplasty","volume":"26","author":"Liou","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib27","doi-asserted-by":"crossref","first-page":"3007","DOI":"10.1016\/j.jbiomech.2010.06.015","article-title":"Validation of the Delft shoulder and elbow model using in-vivo glenohumeral joint contact forces","volume":"43","author":"Nikooyan","year":"2010","journal-title":"J Biomech"},{"key":"10.1016\/j.jse.2019.07.022_bib28","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1016\/j.jse.2018.05.030","article-title":"How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures","volume":"27","author":"Ohl","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib29","first-page":"25","article-title":"An Aging Nation: The Older Population in the United States. Population Estimates and Projections","author":"Ortman","year":"2014","journal-title":"Current Population Reports"},{"key":"10.1016\/j.jse.2019.07.022_bib30","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1016\/j.jse.2014.06.035","article-title":"Reverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study","volume":"23","author":"Sebasti\u00e1-Forcada","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib31","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.jse.2015.08.030","article-title":"Hemiarthroplasty versus reverse shoulder arthroplasty for treatment of proximal humeral fractures: a meta-analysis","volume":"25","author":"Shukla","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.07.022_bib32","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1097\/BOT.0000000000001348","article-title":"Effect of tuberosity healing on clinical outcomes in elderly patients treated with a reverse shoulder arthroplasty for 3- and 4-part proximal humerus fractures","volume":"33","author":"Simovitch","year":"2019","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2019.07.022_bib33","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1177\/2151458511420140","article-title":"Reverse shoulder arthroplasty for acute proximal humeral fractures in the geriatric patient: a review of the literature","volume":"2","author":"Stanbury","year":"2011","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"10.1016\/j.jse.2019.07.022_bib34","doi-asserted-by":"crossref","DOI":"10.1177\/2309499018760132","article-title":"Reverse shoulder arthroplasty for the treatment of acute complex proximal humeral fractures: Influence of greater tuberosity healing on the\u00a0functional outcomes","volume":"26","author":"Torrens","year":"2018","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"10.1016\/j.jse.2019.07.022_bib35","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/0021-9290(94)90065-5","article-title":"A finite element musculoskeletal model of the shoulder mechanism","volume":"27","author":"Van der Helm","year":"1994","journal-title":"J Biomech"},{"key":"10.1016\/j.jse.2019.07.022_bib36","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.jbspin.2010.09.004","article-title":"Shoulder arthroplasty: evolving techniques and indications","volume":"77","author":"Walch","year":"2010","journal-title":"Joint Bone Spine"},{"key":"10.1016\/j.jse.2019.07.022_bib37","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1016\/j.jse.2017.01.021","article-title":"Reverse shoulder arthroplasty for complex fractures of the proximal humerus in elderly patients: impact on the level of independency, early function, and pain medication","volume":"26","author":"Wolfensperger","year":"2017","journal-title":"J Shoulder Elbow Surg"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S105827461930518X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S105827461930518X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:45:24Z","timestamp":1761007524000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S105827461930518X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["S105827461930518X"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2019.07.022","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The role of greater tuberosity healing in reverse shoulder arthroplasty: a finite element analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2019.07.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees.","name":"copyright","label":"Copyright"}]}}