{"id":"https://openalex.org/W3091061990","doi":"https://doi.org/10.1007/s00264-020-04813-5","title":"Causes of acromion and scapular spine fractures following reverse shoulder arthroplasty: a retrospective analysis and literature review","display_name":"Causes of acromion and scapular spine fractures following reverse shoulder arthroplasty: a retrospective analysis and literature review","publication_year":2020,"publication_date":"2020-09-29","ids":{"openalex":"https://openalex.org/W3091061990","doi":"https://doi.org/10.1007/s00264-020-04813-5","mag":"3091061990","pmid":"https://pubmed.ncbi.nlm.nih.gov/32995915","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7679357"},"language":"en","primary_location":{"id":"doi:10.1007/s00264-020-04813-5","doi":"https://doi.org/10.1007/s00264-020-04813-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00264-020-04813-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00264-020-04813-5.pdf","source":{"id":"https://openalex.org/S3756010","display_name":"International Orthopaedics","issn_l":"0341-2695","issn":["0341-2695","1432-5195"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s00264-020-04813-5.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007919380","display_name":"Richard Walter Nyffeler","orcid":"https://orcid.org/0000-0003-0376-5650","observed_orcids":["https://orcid.org/0000-0003-0376-5650"]},"institutions":[{"id":"https://openalex.org/I4210140268","display_name":"Klinik Sonnenhof","ror":"https://ror.org/03hvkpj98","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210140268"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"Richard W. Nyffeler","raw_affiliation_strings":["Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland. richard.nyffeler@bluewin.ch","Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland"],"raw_orcid":"https://orcid.org/0000-0003-0376-5650","affiliations":[{"raw_affiliation_string":"Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland. richard.nyffeler@bluewin.ch","institution_ids":["https://openalex.org/I4210140268"]},{"raw_affiliation_string":"Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland","institution_ids":["https://openalex.org/I4210140268"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055444790","display_name":"Bartu Altioklar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210140268","display_name":"Klinik Sonnenhof","ror":"https://ror.org/03hvkpj98","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210140268"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Bartu Altioklar","raw_affiliation_strings":["Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland","institution_ids":["https://openalex.org/I4210140268"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020316860","display_name":"Philipp Bissig","orcid":"https://orcid.org/0000-0001-8165-2569","observed_orcids":["https://orcid.org/0000-0001-8165-2569"]},"institutions":[{"id":"https://openalex.org/I4210140268","display_name":"Klinik Sonnenhof","ror":"https://ror.org/03hvkpj98","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210140268"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Philipp Bissig","raw_affiliation_strings":["Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthop\u00e4die Sonnenhof, Buchserstrasse 4, 3006, Bern, Switzerland","institution_ids":["https://openalex.org/I4210140268"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007919380"],"corresponding_institution_ids":["https://openalex.org/I4210140268"],"apc_list":{"value":3860,"currency":"USD","value_usd":3860},"apc_paid":{"value":3860,"currency":"USD","value_usd":3860},"fwci":3.3729,"has_fulltext":true,"cited_by_count":37,"citation_normalized_percentile":{"value":0.93319107,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"44","issue":"12","first_page":"2673","last_page":"2681"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/reverse-shoulder-arthroplasty","display_name":"reverse shoulder arthroplasty","score":0.8579999804496765},{"id":"https://openalex.org/keywords/acromion-fracture","display_name":"acromion fracture","score":0.9509999752044678},{"id":"https://openalex.org/keywords/scapular-spine-fracture","display_name":"scapular spine fracture","score":0.9980000257492065},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.800000011920929},{"id":"https://openalex.org/keywords/stress-fractures","display_name":"stress fractures","score":0.6290000081062317},{"id":"https://openalex.org/keywords/fatigue-fracture","display_name":"fatigue fracture","score":0.6520000100135803},{"id":"https://openalex.org/keywords/fall-injuries","display_name":"fall-related injuries","score":0.5299999713897705},{"id":"https://openalex.org/keywords/poor-bone-quality","display_name":"poor bone quality","score":0.9190000295639038},{"id":"https://openalex.org/keywords/shoulder-function-outcomes","display_name":"shoulder function outcomes","score":0.621999979019165}],"concepts":[{"id":"https://openalex.org/C2780604853","wikidata":"https://www.wikidata.org/wiki/Q615414","display_name":"Acromion","level":3,"score":0.9787722229957581},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9656059741973877},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.7079482078552246},{"id":"https://openalex.org/C2779777117","wikidata":"https://www.wikidata.org/wiki/Q16336","display_name":"Scapula","level":2,"score":0.642986536026001},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6180667877197266},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5548886060714722},{"id":"https://openalex.org/C2776737378","wikidata":"https://www.wikidata.org/wiki/Q41392","display_name":"Stress fractures","level":2,"score":0.5394924283027649},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.48938649892807007},{"id":"https://openalex.org/C2776511800","wikidata":"https://www.wikidata.org/wiki/Q1764136","display_name":"Rotator cuff","level":2,"score":0.06934142112731934}],"mesh":[{"descriptor_ui":"D000072228","descriptor_name":"Arthroplasty, Replacement, Shoulder","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D000174","descriptor_name":"Acromion","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012784","descriptor_name":"Shoulder Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D012784","descriptor_name":"Shoulder Fractures","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D012784","descriptor_name":"Shoulder Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012785","descriptor_name":"Shoulder Joint","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D012785","descriptor_name":"Shoulder Joint","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016103","descriptor_name":"Spinal Fractures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s00264-020-04813-5","doi":"https://doi.org/10.1007/s00264-020-04813-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00264-020-04813-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00264-020-04813-5.pdf","source":{"id":"https://openalex.org/S3756010","display_name":"International Orthopaedics","issn_l":"0341-2695","issn":["0341-2695","1432-5195"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Orthopaedics","raw_type":"journal-article"},{"id":"pmid:32995915","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32995915","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International orthopaedics","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7679357","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7679357/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int Orthop","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s00264-020-04813-5","doi":"https://doi.org/10.1007/s00264-020-04813-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00264-020-04813-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00264-020-04813-5.pdf","source":{"id":"https://openalex.org/S3756010","display_name":"International Orthopaedics","issn_l":"0341-2695","issn":["0341-2695","1432-5195"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3091061990.pdf","grobid_xml":"https://content.openalex.org/works/W3091061990.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W37515683","https://openalex.org/W147634606","https://openalex.org/W1141899667","https://openalex.org/W1768023393","https://openalex.org/W1777477728","https://openalex.org/W1915267441","https://openalex.org/W1954846082","https://openalex.org/W1965263359","https://openalex.org/W1974116716","https://openalex.org/W1976304522","https://openalex.org/W1978858279","https://openalex.org/W1999230960","https://openalex.org/W2006241878","https://openalex.org/W2008232903","https://openalex.org/W2008991662","https://openalex.org/W2010094640","https://openalex.org/W2011217023","https://openalex.org/W2012024404","https://openalex.org/W2014929458","https://openalex.org/W2015231362","https://openalex.org/W2024277577","https://openalex.org/W2024928221","https://openalex.org/W2038138734","https://openalex.org/W2053573961","https://openalex.org/W2065954458","https://openalex.org/W2070265029","https://openalex.org/W2077884248","https://openalex.org/W2081454894","https://openalex.org/W2097901586","https://openalex.org/W2102951024","https://openalex.org/W2116185534","https://openalex.org/W2123202215","https://openalex.org/W2138829659","https://openalex.org/W2141022789","https://openalex.org/W2145305179","https://openalex.org/W2149871661","https://openalex.org/W2152105296","https://openalex.org/W2157479960","https://openalex.org/W2159325619","https://openalex.org/W2324017636","https://openalex.org/W2329526870","https://openalex.org/W2470344434","https://openalex.org/W2582876073","https://openalex.org/W2800467530","https://openalex.org/W2885230847","https://openalex.org/W2890908228","https://openalex.org/W2902089151","https://openalex.org/W2947415858","https://openalex.org/W2947471932","https://openalex.org/W2969598079","https://openalex.org/W2978740014","https://openalex.org/W2981000423","https://openalex.org/W2984736499","https://openalex.org/W3016343158","https://openalex.org/W3039932720","https://openalex.org/W3040130339","https://openalex.org/W3044397452"],"related_works":["https://openalex.org/W3044397452","https://openalex.org/W2560425575","https://openalex.org/W7204758219","https://openalex.org/W3161334208","https://openalex.org/W2902089151","https://openalex.org/W2947471932","https://openalex.org/W7103136300","https://openalex.org/W1976304522","https://openalex.org/W6936417782","https://openalex.org/W36498600"],"abstract_inverted_index":{"PURPOSE:":[0],"Fractures":[1],"of":[2,23,33,50,80,89,97,114,128,134,174,277,291,300],"the":[3,6,24,51,63,67,77,81,98,101,108,135,141,151,154,180,189,212,219,263,275,281,289,292,305],"acromion":[4,99,136,267,306],"and":[5,26,60,76,87,107,117,153,159,183,207,221,240,254,268,307],"scapular":[7,102,142,269],"spine":[8,103,143,270],"are":[9,274],"serious":[10],"complications":[11],"after":[12,272],"reverse":[13,302],"total":[14],"shoulder":[15,34,73,182],"arthroplasty.":[16],"They":[17],"concern":[18],"about":[19],"4":[20],"to":[21,55,61,164,197,209,228,296,312],"5%":[22],"patients":[25,91,123,168,203,235,245],"always":[27],"result":[28,248,276],"in":[29,66,280],"a":[30,94,132,171,177,185,297,301],"significant":[31],"deterioration":[32],"function.":[35],"Different":[36],"causes":[37,64],"have":[38],"been":[39],"taken":[40],"into":[41],"consideration,":[42],"particularly":[43],"stress":[44,284],"or":[45,100,140,283],"fatigue":[46],"fractures.":[47,285],"The":[48,85,147,191,215],"purpose":[49],"present":[52],"study":[53,260],"was":[54],"analyse":[56],"our":[57,72,287],"own":[58],"cases":[59],"discuss":[62],"reported":[65,176],"literature.":[68],"METHODS:":[69],"We":[70],"reviewed":[71],"arthroplasty":[74],"registry":[75],"consultation":[78],"reports":[79],"last":[82],"ten":[83,225],"years.":[84],"charts":[86],"radiographs":[88],"all":[90,234],"who":[92],"had":[93,170,204],"post-operative":[95],"fracture":[96,133,155,220],"were":[104,110,195,294,317],"carefully":[105],"examined":[106],"results":[109],"compared":[111],"with":[112,124,319],"those":[113],"an":[115,125],"age-":[116],"gender-matched":[118],"control":[119],"group.":[120],"RESULTS:":[121],"Twelve":[122],"average":[126],"age":[127],"79":[129],"years":[130],"sustained":[131],"(n":[137,144],"=":[138,145],"6)":[139],"6).":[146],"time":[148,216],"interval":[149,217],"between":[150,218],"operation":[152],"averaged":[156,224],"26":[157],"months":[158],"ranged":[160],"from":[161],"three":[162],"weeks":[163,226],"70":[165],"months.":[166],"Eight":[167],"(67%)":[169],"trauma.":[172,314],"Seven":[173],"them":[175],"fall":[178],"on":[179,188],"corresponding":[181],"one":[184],"heavy":[186],"blow":[187],"acromion.":[190],"four":[192,255],"non-traumatic":[193],"fractures":[194,271,293,316],"attributed":[196],"poor":[198,320],"bone":[199,321],"quality.":[200,322],"All":[201],"12":[202],"immediate":[205],"pain":[206],"difficulty":[208],"actively":[210],"elevate":[211],"affected":[213],"arm.":[214],"its":[222],"diagnosis":[223],"(0":[227],"10":[229],"months).":[230],"At":[231],"final":[232],"follow-up,":[233],"could":[236],"reach":[237],"their":[238,247],"face":[239],"refused":[241],"further":[242],"surgery.":[243],"Two":[244],"rated":[246],"as":[249,252,256],"good,":[250],"six":[251],"acceptable":[253],"poor.":[257],"CONCLUSIONS:":[258],"Our":[259],"cannot":[261],"support":[262],"hypothesis":[264],"that":[265],"most":[266],"RSA":[273],"increased":[278],"tension":[279],"deltoid":[282],"In":[286],"series,":[288],"majority":[290],"related":[295],"fall.":[298],"Implantation":[299],"prosthesis":[303],"exposes":[304],"makes":[308],"it":[309],"more":[310],"vulnerable":[311],"direct":[313],"Non-traumatic":[315],"associated":[318]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2020-10-08T00:00:00"}