Clinical OutcomesLateralized Versus Nonlateralized Reverse Shoulder Arthroplasty: Impact on Clinical and Functional OutcomesChua, Yi Ling MD; Lam, Patrick H. MD, PhD; Murrell, George A.C. MD, DPhil Author Information Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, New South Wales, Australia G.A.C.M.: Editorial or governing board—Journal of Shoulder and Elbow Surgery, Shoulder and Elbow, and Techniques in Shoulder and Elbow Surgery; Smith & Nephew—paid consultant; research support. The remaining authors declare no conflict of interest. Reprints: George A.C. Murrell, MD, DPhil, Orthopaedic Research Institute, Level 2, 4-10 South Street, Kogarah, Sydney, NSW 2217, Australia (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: December 2020 - Volume 21 - Issue 4 - p 89-96 doi: 10.1097/BTE.0000000000000204 Buy Metrics Abstract The aim of this study was to compare the early clinical and functional outcomes of patients who received the 2 major variations of reverse shoulder arthroplasty (RSA). The nonlateralized Aequalis Reversed Shoulder System (Tornier, Nice, France) was followed by the lateralized Encore Reverse Shoulder Prosthesis (DJO Surgical, Austin, Texas). Patient-determined pain and functional scores and examiner-determined range of motion and strength were assessed preoperatively and postoperatively at 1, 6, 12 weeks, and 6 months. Seventy RSAs performed in 66 consecutive patients: 35 shoulders in the lateralized group and 35 shoulders in the nonlateralized group met the inclusion criteria and formed the cohorts. Both groups experienced similar excellent clinical outcomes, with the exception that the lateralized group had better internal rotation range of motion (L3-4 vs. S1, P=0.03), lower frequency of pain during sleep (P=0.04), less severe pain at rest (P=0.03) and higher involvement in sporting activities (P=0.04) at 24 weeks. In conclusion, patients who underwent RSA with a lateralized glenosphere had better internal rotation range of motion, less pain, and better function than those who received a nonlateralized prosthesis. These differences were apparent within 6 months postsurgery. Level of Evidence: Level III. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.