{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:35:18Z","timestamp":1791984918898,"version":"4.4.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2026,4]]},"DOI":"10.1016\/j.jse.2025.07.033","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:26:39Z","timestamp":1757550399000},"page":"1011-1021","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effect of lateralization and distalization on tuberosity healing and functional outcomes after reverse total shoulder arthroplasty with the Univers Revers Total Shoulder System for proximal humerus fractures: a randomized controlled trial comparing 135\u00b0 and 155\u00b0 uncemented stems"],"prefix":"10.1016","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8937-1662","authenticated-orcid":false,"given":"Xavi","family":"Rius","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-8774","authenticated-orcid":false,"given":"Diego","family":"Gonzalez-Morgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Matellanes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6362-7079","authenticated-orcid":false,"given":"Ana","family":"Luzardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3048-1696","authenticated-orcid":false,"given":"Jose Luis","family":"Agullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6910-8632","authenticated-orcid":false,"given":"Abdul-ilah","family":"Hachem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2025.07.033_bib1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.jse.2013.10.003","article-title":"Reverse shoulder arthroplasty for proximal humeral fractures: update on indications, technique, and results","volume":"23","author":"Acevedo","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"issue":"Suppl 1","key":"10.1016\/j.jse.2025.07.033_bib2","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.2025.07.033_bib3","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.jse.2018.08.025","article-title":"Reverse shoulder arthroplasty for acute fractures in the elderly: is it worth reattaching the tuberosities?","volume":"28","author":"Boileau","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib4","doi-asserted-by":"crossref","first-page":"2993","DOI":"10.1007\/s00264-024-06310-5","article-title":"The effect of tuberosity healing on functional outcomes after reverse shoulder arthroplasty for proximal humerus fractures: a systematic review and meta-analysis","volume":"48","author":"Buchanan","year":"2024","journal-title":"Int Orthop"},{"key":"10.1016\/j.jse.2025.07.033_bib5","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"},{"issue":"3 Suppl","key":"10.1016\/j.jse.2025.07.033_bib6","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/17585732221089864","article-title":"Anatomic greater tuberosity healing does not influence the functional outcomes of reverse shoulder arthroplasty for acute proximal humerus fractures","volume":"15","author":"Cassart Masnou","year":"2023","journal-title":"Shoulder Elbow"},{"key":"10.1016\/j.jse.2025.07.033_bib7","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.2025.07.033_bib8","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.2025.07.033_bib9","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/j.jse.2015.12.002","article-title":"Outcomes of reverse total shoulder arthroplasty as primary versus revision procedure for proximal humerus fractures","volume":"25","author":"Dezfuli","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib10","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.2025.07.033_bib11","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.2025.07.033_bib12","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1186\/s13018-015-0261-1","article-title":"Reverse shoulder arthroplasty for proximal humerus fracture using a dedicated stem: radiological outcomes at a minimum 2 years of follow-up-case series","volume":"10","author":"Garofalo","year":"2015","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jse.2025.07.033_bib13","doi-asserted-by":"crossref","first-page":"e703","DOI":"10.3928\/01477447-20120426-25","article-title":"Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients","volume":"35","author":"Garrigues","year":"2012","journal-title":"Orthopedics"},{"key":"10.1016\/j.jse.2025.07.033_bib14","doi-asserted-by":"crossref","first-page":"e78","DOI":"10.1016\/j.jse.2018.09.006","article-title":"Tuberosity healing after reverse shoulder arthroplasty for complex proximal humeral fractures in elderly patients-does it improve outcomes? A systematic review and meta-analysis","volume":"28","author":"Jain","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib15","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.24.00148","article-title":"Influence of humeral component cement and bone grafting on greater tuberosity healing and functional outcomes after reverse shoulder arthroplasty for proximal humerus fractures: a systematic review and meta-analysis","volume":"12","author":"Kaiser","year":"2024","journal-title":"JBJS Rev"},{"key":"10.1016\/j.jse.2025.07.033_bib16","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.1007\/s00264-015-2984-3","article-title":"Effect of humeral stem design on humeral position and range of motion in reverse shoulder arthroplasty","volume":"39","author":"L\u00e4dermann","year":"2015","journal-title":"Int Orthop"},{"key":"10.1016\/j.jse.2025.07.033_bib17","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.2025.07.033_bib18","doi-asserted-by":"crossref","first-page":"2259","DOI":"10.1016\/j.jse.2019.06.024","article-title":"Reverse shoulder arthroplasty versus nonoperative treatment for 3- or 4-part proximal humeral fractures in elderly patients: a prospective randomized controlled trial","volume":"28","author":"Lopiz","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib19","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s00264-021-05284-y","article-title":"Reverse shoulder arthroplasty for proximal humeral fracture in the elderly. Cemented or uncemented stem?","volume":"46","author":"Lopiz","year":"2022","journal-title":"Int Orthop"},{"key":"10.1016\/j.jse.2025.07.033_bib20","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s00264-024-06368-1","article-title":"Uncemented reverse total shoulder arthroplasty: is it a safe option for elderly patients with proximal humerus fractures?","volume":"49","author":"Maassen","year":"2025","journal-title":"Int Orthop"},{"key":"10.1016\/j.jse.2025.07.033_bib21","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1016\/j.jse.2022.12.014","article-title":"Neck shaft angle in reverse shoulder arthroplasty: 135 vs. 145 degrees at minimum 2-year follow-up","volume":"32","author":"Neyton","year":"2023","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib22","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.2025.07.033_bib23","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1016\/j.jse.2020.03.032","article-title":"A systematic review of tuberosity healing and outcomes following reverse shoulder arthroplasty for fracture according to humeral inclination of the prosthesis","volume":"29","author":"O\u2019Sullivan","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib24","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s12306-023-00807-9","article-title":"Great tuberosity fixation does not affect healing and clinical outcomes in RSA performed in proximal humeral fractures in elderly patients","volume":"108","author":"Porcellini","year":"2024","journal-title":"Musculoskelet Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib25","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jse.2014.05.022","article-title":"Reverse shoulder arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly","volume":"24","author":"Ross","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib26","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.jse.2019.07.022","article-title":"The role of greater tuberosity healing in reverse shoulder arthroplasty: a finite element analysis","volume":"29","author":"Sabesan","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_bib27","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1007\/s00590-020-02649-8","article-title":"Tuberosity healing improves functional outcome following primary reverse shoulder arthroplasty for proximal humeral fractures with a 135\u00b0 prosthesis","volume":"30","author":"Schmalzl","year":"2020","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.jse.2025.07.033_bib28","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s12891-020-3060-8","article-title":"High tuberosity healing rate associated with better functional outcome following primary reverse shoulder arthroplasty for proximal humeral fractures with a 135\u00b0 prosthesis","volume":"21","author":"Schmalzl","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jse.2025.07.033_bib29","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1016\/j.jse.2020.09.009","article-title":"Higher primary stability of tuberosity fixation in reverse fracture arthroplasty with 135\u00b0 than with 155\u00b0 humeral inclination","volume":"30","author":"Schmalzl","year":"2021","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2025.07.033_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.2025.07.033_bib31","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/BPB.0000000000000451","article-title":"Comparison of the lateral and posterior approaches in the treatment of pediatric supracondylar humeral fractures","volume":"27","author":"Uzer","year":"2018","journal-title":"J Pediatr Orthop B"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625006342?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274625006342?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T23:32:43Z","timestamp":1773185563000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274625006342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1058274625006342"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2025.07.033","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effect of lateralization and distalization on tuberosity healing and functional outcomes after reverse total shoulder arthroplasty with the Univers Revers Total Shoulder System for proximal humerus fractures: a randomized controlled trial comparing 135\u00b0 and 155\u00b0 uncemented stems","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.2025.07.033","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.","name":"copyright","label":"Copyright"}]}}