This project aims to conduct a randomized controlled trial comparing the functional outcomes and complications of standard reverse total shoulder arthroplasty and reverse total shoulder arthroplasty combined with partial coracoidectomy. The study will assess functional internal rotation at 12 months post-surgery, as measured by the ADLIR (Activities of Daily Living requiring Internal Rotation) score.
None
Patients with a history of coracoid fractures or who have previously undergone surgery involving the coracoid process.
Patients undergoing latissimus dorsi transfers
Presence of an active infection, inflammatory arthritis, or a tumor affecting the shoulder region.
Patients with pre-existing neuromuscular disorders affecting shoulder function
Parallel
Reverse total shoulder arthroplasty with coracoidectomy
Procedure/SurgeryReverse total shoulder arthroplasty with coracoidectomy
Reverse total shoulder arthroplasty without coracoidectomy
Procedure/SurgeryReverse total shoulder arthroplasty without coracoidectomy
Assessment of functional internal rotation, as measured by the change in the ADLIR (Activities of Daily Living requiring Internal Rotation) score
A maximum score of 100 indicates that the patient experiences no discomfort in daily life due to limited internal rotation. A minimum score of 14 indicates severe functional impairment due to limited internal rotation.
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