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Impact of Reverse Shoulder Arthroplasty Design and Patient Shoulder Size on Moment Arms and Muscle Fiber Lengths in Shoulder Abductors

Reverse shoulder arthroplasty (RSA) increases the moment arm of the deltoid, however there is limited knowledge on the accompanying changes in muscle architecture that play a role in muscle force production. The purpose of our study is to use a geometric shoulder model to evaluate the anterior deltoid, middle deltoid, and supraspinatus regarding 1) differences in moment arms and muscle-tendon lengths in small, medium, and large native shoulders, and 2) impact of three RSA designs on moment arms, muscle fiber lengths, and force-length (F-L) curves.

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Source: JSES