rTSA restores forward elevation primarily via compensatory scapulothoracic motion and deltoid-driven neuromuscular strategies rather than normalization of glenohumeral mechanics. Standardized, longitudinal studies integrating high-fidelity kinematics, EMG, and real-world activity monitoring, with explicit reporting of implant construct parameters, are needed to clarify how surgical technique and implant design influence postoperative biomechanics and functional recovery.
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Anna Thomson
Terence Felix
Glen A. Lichtwark
Journal of Shoulder and Elbow Surgery
The University of Queensland
Queensland University of Technology
Australian Research Council
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Thomson et al. (Sun,) studied this question.
www.synapsesocial.com/papers/69bf8692f665edcd009e8f65 — DOI: https://doi.org/10.1016/j.jse.2026.03.002