{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:37:57Z","timestamp":1791405477971,"version":"4.3.3"},"reference-count":23,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex Inc","doi-asserted-by":"publisher","award":["AIRR-00608"],"award-info":[{"award-number":["AIRR-00608"]}],"id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2026,2]]},"DOI":"10.1016\/j.jse.2025.05.032","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T17:58:27Z","timestamp":1752602307000},"page":"e243-e249","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stress shielding of the Univers Revers system in reverse shoulder arthroplasty is minimal and does not progress substantially from short- to midterm follow-up"],"prefix":"10.1016","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9320-9839","authenticated-orcid":false,"given":"Roya","family":"Khorram","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0826-6463","authenticated-orcid":false,"given":"Samer","family":"Al-Humadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kohut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1035-6751","authenticated-orcid":false,"given":"Evan","family":"Lederman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7956-2123","authenticated-orcid":false,"given":"Brian C.","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Romeo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asheesh","family":"Bedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin W.","family":"Sears","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradford","family":"Parsons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Erickson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"O'Grady","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Petre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Griffin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joern","family":"Steinbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Tokish","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Provencher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bercik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kissenberth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patric","family":"Raiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Habermeyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Moroder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Creighton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell","family":"Huffman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Harmsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Lichtenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Lenters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyrrell","family":"Burrus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Brolin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2641-5920","authenticated-orcid":false,"given":"Patrick J.","family":"Denard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2025.05.032_bib1","doi-asserted-by":"crossref","first-page":"454","DOI":"10.2106\/JBJS.16.00223","article-title":"Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study","volume":"99","author":"Bacle","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.05.032_bib2","first-page":"50","article-title":"Humeral-sided radiographic changes following reverse total shoulder arthroplasty","volume":"8","author":"Brolin","year":"2020","journal-title":"Arch Bone Jt Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1302\/0301-620X.91B1.21094","article-title":"Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder","volume":"91","author":"Cil","year":"2009","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.jse.2025.05.032_bib4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jses.2019.11.002","article-title":"Five-year radiographic evaluation of stress shielding with a press-fit standard length humeral stem","volume":"4","author":"Cole","year":"2020","journal-title":"JSES Int"},{"key":"10.1016\/j.jse.2025.05.032_bib5","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.2106\/JBJS.G.00775","article-title":"Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency","volume":"90","author":"Cuff","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.05.032_bib6","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.jse.2019.09.042","article-title":"Short-term evaluation of humeral stress shielding following reverse shoulder arthroplasty using press-fit fixation compared with cemented fixation","volume":"29","author":"Denard","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib7","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.jseint.2022.05.003","article-title":"A 135\u00b0 short inlay humeral stem leads to comparable radiographic and clinical outcomes compared with a standard-length stem for reverse shoulder arthroplasty","volume":"6","author":"Erickson","year":"2022","journal-title":"JSES Int"},{"key":"10.1016\/j.jse.2025.05.032_bib8","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1007\/s11999-011-1833-y","article-title":"Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time?","volume":"469","author":"Favard","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2025.05.032_bib9","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1007\/s00590-024-03864-3","article-title":"Do the humeral radiographic changes at 5-year follow-up affect the clinical outcomes of press-fit humeral stems in primary reverse shoulder arthroplasties?","volume":"34","author":"Garc\u00eda-Fern\u00e1ndez","year":"2024","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.jse.2025.05.032_bib10","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.2106\/00004623-200608000-00008","article-title":"Reverse total shoulder arthroplasty - survivorship analysis of eighty replacements followed for five to ten years","volume":"88A","author":"Guery","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.05.032_bib11","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1016\/j.jse.2017.02.006","article-title":"Radiographic changes and clinical outcomes associated with an adjustable diaphyseal press-fit humeral stem in primary reverse shoulder arthroplasty","volume":"26","author":"Harmsen","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib12","doi-asserted-by":"crossref","first-page":"427","DOI":"10.5435\/JAAOS-D-15-00682","article-title":"The humeral implant in shoulder arthroplasty","volume":"25","author":"Keener","year":"2017","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib13","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1016\/j.jse.2015.12.017","article-title":"Reverse shoulder arthroplasty with a cementless short metaphyseal humeral implant without a stem: clinical and radiologic outcomes in prospective 2-to 7-year follow-up study","volume":"25","author":"Levy","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib14","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1302\/0301-620X.93B9.25926","article-title":"An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years","volume":"93","author":"Melis","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.jse.2025.05.032_bib15","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.2106\/JBJS.L.00820","article-title":"Reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis in patients with a biconcave glenoid","volume":"95","author":"Mizuno","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.05.032_bib16","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1067\/mse.2003.22","article-title":"Stress shielding and bone resorption in shoulder arthroplasty","volume":"12","author":"Nagels","year":"2003","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib17","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1007\/s12178-019-09586-y","article-title":"Reverse total shoulder arthroplasty: biomechanics and indications","volume":"12","author":"Rugg","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"key":"10.1016\/j.jse.2025.05.032_bib18","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1302\/0301-620X.86B3.14024","article-title":"Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff: results of a multicentre study of 80 shoulders","volume":"86","author":"Sirveaux","year":"2004","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.jse.2025.05.032_bib19","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1067\/mse.2000.109384","article-title":"Radiographic assessment of ingrowth total shoulder arthroplasty","volume":"9","author":"Sperling","year":"2000","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.05.032_bib20","first-page":"1476","article-title":"Reverse total shoulder arthroplasty: a review of results according to etiology","volume":"89","author":"Wall","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2025.05.032_bib21","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1007\/s11999-014-3985-z","article-title":"Conversion of stemmed hemi- or total to reverse total shoulder arthroplasty: advantages of a modular stem design","volume":"473","author":"Wieser","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2025.05.032_bib22","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jos.2023.01.003","article-title":"Factors affecting stress shielding and osteolysis after reverse shoulder arthroplasty: a multicenter study in a Japanese population","volume":"29","author":"Yokoya","year":"2024","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.jse.2025.05.032_bib23","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.2106\/JBJS.J.00300","article-title":"Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis","volume":"93","author":"Young","year":"2011","journal-title":"J Bone Joint Surg Am"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625005014?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625005014?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:33:00Z","timestamp":1768321980000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274625005014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1058274625005014"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2025.05.032","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Stress shielding of the Univers Revers system in reverse shoulder arthroplasty is minimal and does not progress substantially from short- to midterm follow-up","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.2025.05.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}