Letter to the Editor regarding Young et al: “Reverse shoulder arthroplasty with and without latissimus and teres major transfer for patients with combined loss of elevation and external rotation: a prospective, randomized investigation”

To the Editor: We read with great interest the article entitled ‘‘Reverseshoulder arthroplasty with and without latissimus and teresmajor transfer for patients with combined loss of elevationand external rotation: a prospective, randomized investi-gation’’ by Young et al.22We would like to commend theauthors for their investigation of an important researchquestion: Do ‘‘CLEER’’ patients (combined loss of eleva-tion and external rotation) who undergo reverse shoulderarthroplasty (RSA) with latissimus dorsi and teres majortransfer (þLD/TM) have better functional results than thosetreated with RSA alone? They performed a randomizedcontrolled trial (RCT) and found no significant differencesat 2 to 3.5 years of follow-up. At least 3 important meth-odological weaknesses limit the strength of this RCT anddeserve discussion.

https://www.jshoulderelbow.org/article/S1058-2746(20)30925-3/pdf

 

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