Background The aim of this study is to evaluate the publication trends of the most cited studies in the Journal of Shoulder and Elbow Surgery: Seminars in Arthroplasty (JSESArthro). This report documents trends in the authors and highly-cited manuscript characteristics in JSESArthro. Methods The 50 most cited articles published in JSESArthro were reviewed on the Scopus database. The taxonomy of the study including citations, publication date, origin and institution of author, level of evidence (LOE), and article type were recorded for each article. Results Among the top 50 cited studies in JSESArthro, a majority of studies were published in the United States (72%). Furthermore, the most productive decade was the 2010s with 24/50 (48%) of the publications. The 2000s and 2020s comprised 14/50 (28%) and 12/50 (24%) of the publications, respectively. The most common article category was clinical outcomes (32%), followed by technical note (30%). The plurality of the top 50 articles were descriptive statistics of LOE V (56%) followed by LOE III (26%) and LOE IV (16%). Conclusions Using citation analysis, the top 50 most influential articles in the JSESArthro were comprehensively and objectively analyzed. Among these publications, the most popular fields of research were clinical outcomes and technical notes. In addition, most studies were published in the United States and most commonly LOE V. Identifying the most highly cited articles in the JSESArthro provides knowledge of relevant areas of interest in the field, new technical parameters for hardware, guidelines on management, all with the ultimate goal of improving the care of patients undergoing arthroplasty.
Background Although reverse total shoulder arthroplasty (rTSA) has demonstrated reliable clinical outcomes, concerns persist regarding proximal bone remodeling and the potential for humeral component loosening. Variations in humeral stem length may influence load transfer and subsequent radiographic changes; however, comparative midterm data remain limited. This study evaluated whether stem length affects radiographic and functional outcomes following rTSA using a press-fit metaphyseal fixation design. We hypothesized that stem length would not significantly influence radiographic or functional outcomes at midterm follow-up. Methods A retrospective review was conducted on patients who underwent primary rTSA with a 135° inlay press-fit humeral component and had a minimum follow-up of five years. Patients were grouped based on stem length (short vs. standard). Clinical assessment included range of motion and patient-reported outcome measures collected preoperatively and at final follow-up. Radiographic analysis focused on indicators of bone remodeling and implant stability. Results A total of 239 patients (mean age of 69 ± 7 years at the time of surgery) were included in this study, of whom 93 had a short stem, and 146 had a standard-length stem. Only one stem, which was in the standard-length group, was found to be at risk of loosening. Patients treated with short stems demonstrated greater outcomes in internal rotation at 90 (55° ± 25 vs. 34° ± 14, P < .001). However, no significant differences were observed between the groups regarding patient-reported outcomes or other range of motions at the 5-year follow-up. Conclusion The midterm radiographic and functional outcomes following rTSA with the Univers Revers are comparable whether a short- or standard-length stem is utilized. Stem loosening or stress shielding for the studied implant design does not appear to be a common phenomenon at 5 years postoperatively, regardless of stem length.
