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The centre of rotation is in the humeral head, and the level of arm of deltoid does not allow consequent deltoid recruitment.
Question: Which code should we report for a reverse total shoulder arthroplasty? Answer: You should report 23472 (Arthroplasty, glenohumeral joint; total shoulder [glenoid and proximal humeral replacement (e.g., total shoulder)]) for the reverse total shoulder arthroplasty.
reverse total shoulder, the COR is in the center of a spher- ical glenoid component fixed to the scapula,17 whereas before surgery, the COR is in the center of the humeral head. 15 Changes in the COR affect the resting tension in the deltoid and residual cuff muscles as well as their respective moment arms.
[25] The RTSA usually involves the following components: A cementless glenoid base plate; is seated on the prepared glenoid and fixed by multidirectional screws. The modular geosphere is usually half a sphere and is secured at the glenoid base plate. The humeral stem is inserted into the prepared humerus.
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