Reverse Total Shoulder Arthroplasty in Patients with Os Acromiale: A Systematic Review of Clinical and Radiographic Outcomes
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria
2.2. Information Sources and Search Strategy
2.3. Study Selection
2.4. Data Collection Process
2.5. Risk of Bias Assessment
3. Results
3.1. Qualitative Synthesis of Clinical and Radiological Results
3.2. Methodological Quality Assessment
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Publication | Comparative (LOE) | Preoperative Diagnosis | N^ Cases of RTSA + OS Acromiale (Total Cases If Mix Series) | Total RTSA Series with Same Indication (%) | Acromial Insufficiency Included | Os Acromiale Type (Pre/Meso/Meta) | Follow-Up (Months) |
---|---|---|---|---|---|---|---|
Walch et al. JSES 2009 [10] | Yes (III) | CTA, MCT, HA revision | 23 (41) | 457 (5%) | Yes | 23 meso | 40 (24–100) |
Aibinder et al. JSES 2017 [16] | No (IV) | CTA, MCT | 25 | N/A; 1079 total RSA database | No | 3:20:2 | 31 (24–81) |
Ersen et al. OT:SR 2019 [14] | Yes (III) | CTA | 10 | 46 (22%) | No | 10 meso | 60 (24–105) |
Werner et al. HSSJ 2019 [15] | Yes (III) | CTA | N/A (11) | 124 (9%) | Yes * | N/A | 28 |
Carpeggiani et al. OJSM 2020 [11] | Yes (III) | Mix | 45 reviewed; 52 os acromiale | 962 (5%) | No | 14:30:1 | 52 (12–121) |
Davis et al. JSES 2024 [12] | Yes (III) | CTA, MCT, RA | 40 (72) | 525 (8%) | Yes | N/A | 76 ± 80 |
TOTAL or weighted MEAN | - | - | 161 136 ^ | 3193 2114 ^^ (6.4%) | - | - | 52 months |
Publication | Postoperative Complications | Postoperative Problems | Revision/Reoperation | Clinical Results | Vs RTSA | Radiological Acromial Tilt, n° Cases (5) | Acromial Tilt Influence on Outcome | Radiological Notes |
---|---|---|---|---|---|---|---|---|
Walch et al. JSES 2009 [10] | N/A | N/A | No | CS 68 AF 141° | No differences | 24/38 (63%) * | No | - |
Aibinder et al. JSES 2017 [16] | 2 dislocations | 1 painful OSa 3 unsatisfactory results (no further explanation) | 2 revisions 1 reoperation (OSa excision + deltoid advancement) | Pain 2.0 ASES 66 AF 124° ER1 46° IR L4 | N/A | 7/25 (28%) | No | Postoperative inferior acromial tilt = 32.3° (10–64) |
Ersen et al. OT:SR 2019 [14] | No | No | No | Pain 1.2 CS 66.4 qDASH 22 AF 130° ER1 29° | No differences | N/A | No | AH distance = 19.3 (16–22) mm (significantly shorter than controls, 32.3 mm) |
Werner et al. HSSJ 2019 [15] | No | No | No | ASES 69 SF-12 PCS 36.8 SF-12 MCS 54 Marx activity scale 6.5 | No differences | N/A | N/A | - |
Carpeggiani et al. OJSM 2020 [11] | 2 glenoid loosening 2 spine fractures 1 not specified | 12 painful OSa | 3 revisions | Relative CS 70 SSV 70 AF 107° ER1 23° | Lower AF at 1 y (104° vs. 114°) and lower abduction at 2 y (103° vs. 121°) Slight negative trend after 2 y | 27/45 (60%) | No | - |
Davis et al. JSES 2024 [12] | N/A | N/A | N/A | Pain 1.7 ASES 64 | No differences (excluding MF fracture) Lower ASES pain (33 vs. 39.2) at 1 y | N/A | N/A | - |
TOTAL or weighted MEAN | 7/161 (4.3%) | - | 6 (3.7%) | - | - | 58/108 (54%) | - | - |
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Ranieri, R.; Schroeder, M.; Lacouture, J.D.; Tatangelo, C.; Delle Rose, G.; Conti, M.; Garofalo, R.; Castagna, A. Reverse Total Shoulder Arthroplasty in Patients with Os Acromiale: A Systematic Review of Clinical and Radiographic Outcomes. J. Clin. Med. 2025, 14, 3935. https://doi.org/10.3390/jcm14113935
Ranieri R, Schroeder M, Lacouture JD, Tatangelo C, Delle Rose G, Conti M, Garofalo R, Castagna A. Reverse Total Shoulder Arthroplasty in Patients with Os Acromiale: A Systematic Review of Clinical and Radiographic Outcomes. Journal of Clinical Medicine. 2025; 14(11):3935. https://doi.org/10.3390/jcm14113935
Chicago/Turabian StyleRanieri, Riccardo, Matthias Schroeder, Juan David Lacouture, Ciro Tatangelo, Giacomo Delle Rose, Marco Conti, Raffaele Garofalo, and Alessandro Castagna. 2025. "Reverse Total Shoulder Arthroplasty in Patients with Os Acromiale: A Systematic Review of Clinical and Radiographic Outcomes" Journal of Clinical Medicine 14, no. 11: 3935. https://doi.org/10.3390/jcm14113935
APA StyleRanieri, R., Schroeder, M., Lacouture, J. D., Tatangelo, C., Delle Rose, G., Conti, M., Garofalo, R., & Castagna, A. (2025). Reverse Total Shoulder Arthroplasty in Patients with Os Acromiale: A Systematic Review of Clinical and Radiographic Outcomes. Journal of Clinical Medicine, 14(11), 3935. https://doi.org/10.3390/jcm14113935