{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T18:18:25Z","timestamp":1783448305607,"version":"3.55.0"},"reference-count":66,"publisher":"Bioscientifica","issue":"2","license":[{"start":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:00:00Z","timestamp":1781308800000},"content-version":"vor","delay-in-days":132,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1530\/eor-2025-0139","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T11:46:41Z","timestamp":1770205601000},"page":"119-130","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":0,"title":["Clinical relevance, classification, and risk factors for stress shielding in total shoulder arthroplasty: a systematic review and meta-analysis of clinical outcomes"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6267-1609","authenticated-orcid":true,"given":"Manuel","family":"Kramer","sequence":"first","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Jost","sequence":"additional","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Lebe","sequence":"additional","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Previtali","sequence":"additional","affiliation":[{"name":"2"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"2026070713550804600_bib1","volume-title":"Hip, knee and shoulder arthroplasty: 2022 Annual Report","author":"Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR)","year":"2022"},{"key":"2026070713550804600_bib2","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/j.otsr.2020.04.019","article-title":"Progression and projection for shoulder surgery in France, 2012\u20132070: epidemiologic study with trend and projection analysis","volume":"106","author":"Villatte","year":"2020","journal-title":"Orthopaedics Traumatol Surg Res"},{"key":"2026070713550804600_bib3","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.OA.20.00156","article-title":"Prevalence of shoulder arthroplasty in the United States and the increasing burden of revision shoulder arthroplasty","volume":"6","author":"Farley","year":"2021","journal-title":"JBJS Open Access"},{"key":"2026070713550804600_bib4","article-title":"Humeral osteolysis after reverse shoulder arthroplasty using cemented or cementless stems comparative retrospective study with a mean follow-up of 9 years","volume":"107","author":"Mazaleyrat","year":"2021","journal-title":"Orthopaedics Traumatol Surg Res"},{"key":"2026070713550804600_bib5","first-page":"50","article-title":"Humeral-sided radiographic changes following reverse total shoulder arthroplasty","volume":"8","author":"Brolin","year":"2020","journal-title":"Arch Bone Joint Surg"},{"key":"2026070713550804600_bib6","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-022-05994-3","article-title":"Cemented vs uncemented reverse total shoulder arthroplasty for the primary treatment of proximal humerus fractures in the elderly \u2013 a retrospective case\u2013control study","volume":"23","author":"Kramer","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"2026070713550804600_bib7","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00402-023-05129-w","article-title":"The effects of length and width of the stem on proximal humerus stress shielding in uncemented primary reverse total shoulder arthroplasty","volume":"144","author":"Kramer","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070713550804600_bib8","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.jse.2017.12.020","article-title":"Stress shielding of the humerus in press-fit anatomic shoulder arthroplasty: review and recommendations for evaluation","volume":"27","author":"Denard","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib9","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":"2026070713550804600_bib10","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1053\/j.sart.2023.12.004","article-title":"The effect of humeral diaphyseal stem filling ratio on clinical and radiological outcome","volume":"34","author":"de Joode","year":"2024","journal-title":"Semin Arthroplasty JSES"},{"key":"2026070713550804600_bib11","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":"2026070713550804600_bib12","doi-asserted-by":"crossref","first-page":"e422","DOI":"10.1016\/j.jse.2023.11.021","article-title":"Cementless reverse total shoulder arthroplasty implantation with humeral matchstick autograft augmentation: early radiographic outcomes","volume":"33","author":"Montemaggi","year":"2024","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib13","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1007\/s00264-022-05383-4","article-title":"Humeral stem with low filling ratio reduces stress shielding in primary reverse shoulder arthroplasty","volume":"46","author":"Kim","year":"2022","journal-title":"Int Orthop"},{"key":"2026070713550804600_bib14","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1007\/s00402-022-04389-2","article-title":"Validation of the distal filling ratio in uncemented convertible short-stem shoulder arthroplasty","volume":"143","author":"Raiss","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070713550804600_bib15","article-title":"The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses [Internet]","author":"Wells","year":"2021"},{"key":"2026070713550804600_bib16","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"2026070713550804600_bib17","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":"2026070713550804600_bib18","article-title":"Specific design of a press fit humeral stem provides low stress shielding in reverse shoulder arthroplasty at minimum 5 years FU","volume":"6","author":"Nourissat","year":"2022","journal-title":"J Shoulder Elb Arthroplast"},{"key":"2026070713550804600_bib19","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.jse.2015.08.044","article-title":"Radiologic bone adaptations on a cementless short-stem shoulder prosthesis","volume":"25","author":"Schnetzke","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib20","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1302\/0301-620X.100B5.BJJ-2017-1102.R2","article-title":"Mid-term results of anatomical total shoulder arthroplasty for primary osteoarthritis using a short-stemmed cementless humeral component","volume":"100-B","author":"Schnetzke","year":"2018","journal-title":"Bone Joint Lett J"},{"key":"2026070713550804600_bib21","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jse.2020.04.052","article-title":"Press-fit vs cemented humeral stem fixation for reverse shoulder arthroplasty: functional outcomes at a mean follow-up of 9.5 years","volume":"30","author":"Mazaleyrat","year":"2021","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib22","doi-asserted-by":"crossref","first-page":"e54","DOI":"10.2106\/JBJS.M.00378","article-title":"Radiographic changes around humeral components in shoulder arthroplasty","volume":"96","author":"Raiss","year":"2014","journal-title":"J Bone Joint Surg"},{"key":"2026070713550804600_bib23","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":"2026070713550804600_bib24","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1016\/j.jse.2023.08.021","article-title":"Medium-term clinical and radiographic outcomes of a cementless prosthesis with a 140\u00b0 neck\u2013shaft angle in reverse total shoulder arthroplasty","volume":"33","author":"Gunst","year":"2024","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib25","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-018-1945-6","article-title":"Radiological changes do not influence clinical mid-term outcome in stemless humeral head replacements with hollow screw fixation: a prospective radiological and clinical evaluation","volume":"19","author":"Heuberer","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"2026070713550804600_bib26","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/17585732211058804","article-title":"Stress shielding following stemless anatomic total shoulder arthroplasty","volume":"15","author":"Aibinder","year":"2023","journal-title":"Shoulder Elbow"},{"key":"2026070713550804600_bib27","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.jse.2014.02.024","article-title":"Patterns of proximal humeral bone resorption after total shoulder arthroplasty with an uncemented rectangular stem","volume":"23","author":"Spormann","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib28","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":"2026070713550804600_bib29","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":"2026070713550804600_bib30","doi-asserted-by":"crossref","first-page":"1984","DOI":"10.1016\/j.jse.2017.04.012","article-title":"Humeral bone resorption after anatomic shoulder arthroplasty using an uncemented stem","volume":"26","author":"Inoue","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib31","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.jse.2018.08.037","article-title":"Postoperative radiographic findings of an uncemented convertible short stem for anatomic and reverse shoulder arthroplasty","volume":"28","author":"Raiss","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib32","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.jse.2019.08.018","article-title":"The effect of short-stem humeral component sizing on humeral bone stress","volume":"29","author":"Langohr","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib33","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1016\/j.jse.2015.11.011","article-title":"Comparison of proximal humeral bone stresses between stemless, short stem, and standard stem length: a finite element analysis","volume":"25","author":"Razfar","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib34","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.jseint.2021.05.006","article-title":"The effect of humeral implant thickness and canal fill on interface contact and bone stresses in the proximal humerus","volume":"5","author":"Synnott","year":"2021","journal-title":"JSES Int"},{"key":"2026070713550804600_bib35","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1016\/j.medengphy.2011.12.001","article-title":"Bone remodelling analysis of the humerus after a shoulder arthroplasty","volume":"34","author":"Quental","year":"2012","journal-title":"Med Eng Phys"},{"key":"2026070713550804600_bib36","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1016\/j.jse.2023.04.006","article-title":"The effect of humeral head positioning and incomplete backside contact on bone stresses following total shoulder arthroplasty with a short humeral stem","volume":"32","author":"Tavakoli","year":"2023","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib37","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1007\/s00402-023-05169-2","article-title":"Stress shielding: short-term radiological results of the reverse shoulder arthroplasty with an anatomic proximal coated stem in proximal humeral fractures","volume":"144","author":"Giol","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070713550804600_bib38","first-page":"783","article-title":"Stress shielding of the proximal humerus in stemless anatomic total shoulder arthroplasty","volume":"144","author":"Rankin","year":"2023","journal-title":"Shoulder Elbow"},{"key":"2026070713550804600_bib39","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.jses.2019.09.011","article-title":"Proximal humeral bony adaptations with a short uncemented stem for shoulder arthroplasty: a quantitative analysis","volume":"3","author":"Peduzzi","year":"2019","journal-title":"JSES Open Access"},{"key":"2026070713550804600_bib40","doi-asserted-by":"crossref","first-page":"2299","DOI":"10.1016\/j.jse.2020.02.025","article-title":"Cementless curved short stem shoulder prostheses with a proximal porous coating: ingrowth properties at 2\u20135 years of radiological follow-up with clinical correlation","volume":"29","author":"Kleim","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib41","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jses.2019.11.007","article-title":"Humeral bone resorption after reverse shoulder arthroplasty using uncemented stem","volume":"4","author":"Inoue","year":"2020","journal-title":"JSES Int"},{"key":"2026070713550804600_bib42","article-title":"Clinical results and radiological bony adaptations on a cementless short-stem prosthesis \u2013 a comparative study between anatomical and reverse total shoulder arthroplasty","volume":"108","author":"Abduh","year":"2022","journal-title":"Orthopaedics Traumatol Surg Res"},{"key":"2026070713550804600_bib43","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":"2026070713550804600_bib44","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1097\/CORR.0000000000002480","article-title":"Reverse total shoulder arthroplasty demonstrates better outcomes than angular stable plate in the treatment of three-part and four-part proximal humerus fractures in patients older than 70 years","volume":"481","author":"Lanzetti","year":"2023","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713550804600_bib45","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":"2026070713550804600_bib46","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 B","author":"Melis","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"2026070713550804600_bib47","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1302\/0301-620X.101B5.BJJ-2018-1374.R1","article-title":"Mid-term radiological results of a cementless short humeral component in anatomical and reverse shoulder arthroplasty","volume":"101-B","author":"Aibinder","year":"2019","journal-title":"Bone Joint Lett J"},{"key":"2026070713550804600_bib48","first-page":"154","article-title":"Short-term results of a convertible diaphyseal-fit anatomic shoulder arthroplasty system","volume":"11","author":"Padegimas","year":"2023","journal-title":"Arch Bone Joint Surg"},{"key":"2026070713550804600_bib49","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1302\/0301-620X.103B5.BJJ-2020-1619.R1","article-title":"Radiological humeral adaptative changes five years after anatomical total shoulder arthroplasty using a standard- length cementless hydroxyapatite-coated humeral component","volume":"103-B","author":"Nguyen","year":"2021","journal-title":"Bone Joint Lett J"},{"key":"2026070713550804600_bib50","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.aott.2019.03.011","article-title":"Mid-term results with an anatomic stemless shoulder prosthesis in patients with primary osteoarthritis","volume":"53","author":"B\u00fclhoff","year":"2019","journal-title":"Acta Orthop Traumatol Turc"},{"key":"2026070713550804600_bib51","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1055\/a-1079-6549","article-title":"Long-term radiographic changes in stemless press-fit total shoulder arthroplasty","volume":"159","author":"Beck","year":"2021","journal-title":"Z Orthop Unfall"},{"key":"2026070713550804600_bib52","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.jseint.2022.12.020","article-title":"Short-term radiographic analysis of a stemless humeral component for anatomic total shoulder arthroplasty","volume":"7","author":"Magone","year":"2023","journal-title":"JSES Int"},{"key":"2026070713550804600_bib53","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.jse.2023.05.033","article-title":"Impact of humeral stem length on calcar resorption in anatomic total shoulder arthroplasty","volume":"33","author":"Vegas","year":"2024","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib54","doi-asserted-by":"crossref","first-page":"E968","DOI":"10.5435\/JAAOS-D-21-01032","article-title":"Initial and 1-Year radiographic comparison of reverse total shoulder arthroplasty with a short versus standard length stem","volume":"30","author":"Erickson","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"2026070713550804600_bib55","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jse.2017.06.042","article-title":"Proximal stress shielding is decreased with a short stem compared with a traditional-length stem in total shoulder arthroplasty","volume":"27","author":"Denard","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib56","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jse.2016.09.001","article-title":"Is the stemless humeral head replacement clinically and radiographically a secure equivalent to standard stem humeral head replacement in the long-term follow-up? A prospective randomized trial","volume":"26","author":"Uschok","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib57","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1016\/j.jse.2022.02.042","article-title":"Comparative study of 145\u00b0 onlay curved stem versus 155\u00b0 inlay straight stem reverse shoulder arthroplasty: clinical and radiographic results with a minimum 2-year follow-up","volume":"31","author":"Giordano","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib58","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.jse.2017.08.010","article-title":"Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty","volume":"27","author":"Denard","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070713550804600_bib59","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.5435\/JAAOS-D-19-00444","article-title":"Three-dimensional volumetric filling ratio predicts stress shielding in short-stem anatomic total shoulder arthroplasty","volume":"28","author":"Celik","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"2026070713550804600_bib60","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jseint.2023.10.011","article-title":"Two-year minimum survivorship and radiographic analysis of a pressfit short humeral stem for total shoulder arthroplasty","volume":"8","author":"Larose","year":"2024","journal-title":"JSES Int"},{"key":"2026070713550804600_bib61","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s00402-017-2673-3","article-title":"Anatomical and reverse shoulder replacement with a convertible, uncemented short-stem shoulder prosthesis: first clinical and radiological results","volume":"137","author":"Schnetzke","year":"2017","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070713550804600_bib62","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3390\/jcm10040828","article-title":"Impact of sports activity on medium-term clinical and radiological outcome after reverse shoulder arthroplasty in cuff deficient arthropathy; an institutional register-based analysis","volume":"10","author":"Endell","year":"2021","journal-title":"J Clin Med"},{"key":"2026070713550804600_bib63","doi-asserted-by":"crossref","first-page":"3430","DOI":"10.1109\/TBME.2025.3568877","article-title":"Effect of humeral stem sizing and alignment on stress shielding \u2013 a virtual cohort study","volume":"72","author":"Mueri","year":"2025","journal-title":"IEEE Trans Biomed Eng"},{"key":"2026070713550804600_bib64","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.jseint.2020.05.001","article-title":"Quantifying the minimal and substantial clinical benefit of the Constant-Murley score and the disabilities of the arm, shoulder and hand score in patients with calcific tendinitis of the rotator cuff","volume":"4","author":"Louwerens","year":"2020","journal-title":"JSES Int"},{"key":"2026070713550804600_bib65","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1016\/j.clinthera.2015.06.006","article-title":"The pathophysiology and treatment of osteoporosis","volume":"37","author":"Drake","year":"2015","journal-title":"Clin Ther"},{"key":"2026070713550804600_bib67","doi-asserted-by":"crossref","first-page":"E236","DOI":"10.3928\/01477447-20190125-03","article-title":"Outcomes of uncemented versus cemented reverse shoulder arthroplasty for proximal humerus fractures","volume":"42","author":"Schoch","year":"2019","journal-title":"Orthopaedics"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/2\/EOR-2025-0139.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/11\/2\/EOR-2025-0139.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/2\/119\/502542\/eor-2025-0139.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/2\/119\/502542\/eor-2025-0139.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:55:19Z","timestamp":1783446919000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/11\/2\/119\/75422\/Clinical-relevance-classification-and-risk-factors"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,1]]},"references-count":66,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,4]]},"published-print":{"date-parts":[[2026,2,1]]}},"URL":"https:\/\/doi.org\/10.1530\/eor-2025-0139","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,1]]}}}