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Table 2 The Impingement matrix indicates the degree of extension, or combined extension/internal rotation, at which impingement occurs. The starting position is 15° abduction. From there, the humerus was extended in 5° increments to 40°. Subsequently, internal rotation was performed in this position in 5° increments. Fields with a red background indicate that impingement already occurred in the initial position of 15° abduction. Yellow fields indicate that at least a certain degree of extension was possible before impingement occurred and blue fields indicate that a certain degree of combined extension and internal rotation in extension was possible. Green fields indicate that impingement did not occur even in full internal rotation in extension

From: Computer-assisted analysis of functional internal rotation after reverse total shoulder arthroplasty: implications for component choice and orientation

 

impingement of humerus and scapula depending on humeral component Neck-Shaft-Angle and Torsion

Baseplate Setup

155° / -20°

155° / + 10°

145° / -20°

145° / + 10°

135° / -20°

135° / + 10°

Setup 4

15° abduction

15° abduction

15° abduction

15° abduction

10° extension

15° abduction

Setup 2

15° abduction

15° abduction

10° extension

15° abduction

40° ext + 5° IR

25° extension

Setup 1

5° extension

15° abduction

30° extension

15° extension

40° ext + 45° IR

no impingement

Setup 3

20° extension

5° extension

40° ext + 35° IR

40° ext + 55° IR

no impingement

no impingement

Setup 5

35° extension

20° extension

40° ext + 55° IR

no impingement

no impingement

no impingement

Setup 6

40° ext + 30° IR

no impingement

no impingement

no impingement

no impingement

no impingement