{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:37:58Z","timestamp":1791405478107,"version":"4.3.3"},"reference-count":26,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p> Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7%). The mean active elevation improved from 54\u00b0 (sd 20\u00b0) to 142\u00b0 (sd 25\u00b0) and the mean active external rotation from 14\u00b0 (sd 13\u00b0) to 45\u00b0 (sd 9\u00b0). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3%), satisfactory in 15 (34.1%), and unsatisfactory in two shoulders (4.5%). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42\u00a0TSRs (95.5%). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5%) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8%). <\/jats:p><jats:p> Cite this article: Bone Joint J 2014;96-B:526\u20139. <\/jats:p>","DOI":"10.1302\/0301-620x.96b3.32702","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:08:50Z","timestamp":1396346930000},"page":"526-529","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":70,"title":["Short-stem uncemented primary reverse shoulder arthroplasty"],"prefix":"10.1302","volume":"96-B","author":[{"given":"S. A.","family":"Giuseffi","sequence":"first","affiliation":[{"name":"Mississippi Sports Medicine and Orthopaedic\rCenter, 1325 E. Fortification St. Jackson, Mississippi\r39202, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Streubel","sequence":"additional","affiliation":[{"name":"Owatonna Clinic, Mayo Health System, 2200\rNW 26th St. Owatonna, Minnesota 55060, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sperling","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo\rClinic, 200 First. St. SW Gonda 14th Floor, Rochester\rMinnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sanchez-Sotelo","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Adult\rReconstruction Shoulder and Elbow Surgery, Department\rof Orthopaedic Surgery, Mayo Clinic Rochester, 200 First\rStreet SW, Rochester, Minnesota\r55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","first-page":"660","volume":"89","author":"Matsen FA 3rd","year":"2007","journal-title":"J Bone Joint Surg [Am]"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00769"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20736"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200905000-00003"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00851"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00775"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2000.105625"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90034-9"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.118482"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.20905"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2000.109384"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(97)90081-1"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001105010106"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199804000-00002"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2005.10.011"},{"key":"r16","first-page":"86","volume":"307","author":"Cofield RH","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.04.011"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.01.041"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000224007.25636.85"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.02.003"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200302000-00018"},{"key":"r22","first-page":"1476","volume":"89","author":"Wall B","year":"2007","journal-title":"J Bone Joint Surg [Am]"},{"key":"r23","doi-asserted-by":"crossref","unstructured":"Budge MD, Wiater JM, Nolan EM, Moravek JEUncemented reverse total shoulder arthroplasty for the cuff-deficient shoulder, minimum two year follow up. 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