Randomized Trialhigh evidence
The Impact of Lesser Tuberosity Osteotomy Repair After Reverse Total Shoulder Arthroplasty: A Randomized Controlled Trial.
The Journal of bone and joint surgery. American volume·August 4, 2026·PMID 42550892
Why it mattersSubscapularis management during reverse total shoulder arthroplasty is controversial, and this Level I evidence clarifies that reattachment via lesser tuberosity repair improves functional outcomes and internal rotation without compromising other motions.

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