Reverse Shoulder Replacement
Reverse shoulder replacement is a type of shoulder replacement in which the positions of the ball and socket are switched. This design lets the large deltoid muscle move the arm when the rotator cuff tendons are torn beyond repair. It is commonly used for arthritis combined with large rotator cuff tears, and for certain complex fractures.
Procedure overview
What happens during Reverse Shoulder Replacement?
- Performed under general anesthesia, often with a nerve block.
- Surgery typically takes about one to two hours.
- Many patients go home the same day or after a one-night stay.
- A sling is typically worn for several weeks, with gradual physical therapy afterward.
- Many daily activities resume within about three months; full recovery commonly takes six months to a year.
Recovery
What is recovery like after Reverse Shoulder Replacement?
A reverse shoulder replacement changes the shoulder's mechanics so a different muscle powers the arm, which shapes rehab. Most people wear a sling for a few weeks and start gentle motion early, avoiding the specific positions your surgeon flags. Because the goal is reliable overhead function rather than maximum motion, therapy is measured and progresses over months. Many everyday activities return within six to twelve weeks, with continued gains for up to a year. Following the movement precautions protects the reconstruction. Contact your surgeon about fever, spreading redness or drainage, or a sudden change in the arm's strength or position.
Top shoulder surgeons
Adam Cohen
VerifiedAlan H. Beyer
VerifiedAlan M. Hirahara
VerifiedAlexander Golant
VerifiedAndrew L. Rosen
VerifiedBalazs Galdi
VerifiedBenedict U. Nwachukwu
VerifiedBenjamin T. Busfield
VerifiedBlair A. Rhode
VerifiedBradley R. Wasserman
VerifiedBrett M. Andres
VerifiedCharles B. Craythorne
VerifiedCharles F. Burt
VerifiedChristopher J. Woodson
VerifiedChristopher K. Jones
VerifiedCraig M. Capeci
VerifiedCristobal A. Beiro
VerifiedDaniel J. Aldrich
VerifiedDaniel J. Jones
VerifiedDaniel K. Davis
VerifiedDaniel Lim
VerifiedDarin D. Tessier
VerifiedDavid E. Nonweiler
VerifiedDavid J. Chao
VerifiedCommon questions
Why would I need a reverse instead of a standard shoulder replacement?
A standard (anatomic) replacement depends on a healthy rotator cuff. When the cuff is badly torn or the joint has certain kinds of damage, the reverse design typically works better because it uses the deltoid muscle instead.
How long does recovery take?
Most people are out of the sling within about four to six weeks and back to light daily activities within two to three months. Improvement in strength and motion continues for up to a year.
What will my shoulder be able to do afterward?
Most patients gain meaningful pain relief and can raise the arm for daily tasks. Some motions, like reaching far behind the back, may stay limited, your surgeon can set realistic expectations for your case.
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This page provides general information only and is not medical advice. Consult a qualified physician about your specific situation. Listings are not endorsements.