Glenohumeral osteoarthritis: what the surgeon needs from the radiologist.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 19. Arch Orthop Trauma Surg. 2025 Jun 4;145(1):329. doi: 10.1007/s00402-025-05897-7. Bony increased offset reverse shoulder arthroplasty (BIO-RSA) vs metal augments: A systematic review. Waseem S(1), Dragonas C(2), Kinnair A(2), Leivadiotou D(2). Author information: (1)Department of Trauma and Orthopaedics, Princess Alexandra Hospital, Hamstel Road, Harlow, Essex, CM201QX, England. saimawaseem@doctors.org.uk. (2)Department of Trauma and Orthopaedics, Princess Alexandra Hospital, Hamstel Road, Harlow, Essex, CM201QX, England. INTRODUCTION: Lateralisation in reverse shoulder arthroplasty can be achieved through bone graft (BIO-RSA) or metal augments (MIO-RSA). This systematic review and meta-analysis aimed to compare outcomes in both these methods. MATERIALS AND METHODS: A systematic review of Pubmed, Cochrane, Medline and EMBASE was performed including all studies on primary reverse total shoulder replacements with lateralised glenoid components using either bone graft (BIO-RSA) or metal augments (MIO-RSA). Collected data for included studies included demographics, method of lateralisation and complications. RESULTS: 30 studies comprising 2364 shoulders in 2558 patients were included, with a mean age of 72.8 (23-93), and 59.7% being female. 1026 patients underwent BIO-RSA and 1328 underwent arthroplasty with metal augmented glenoid components. After 31.5 months (3-126) follow-up, there was a significantly lower pain score (p