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91, P less then .001). Scapular internal rotation itself showed a correlation with thoracic kyphosis (R = 0.27, P less then .001), protraction (R = 0.57, P less then .001), tilt (R = 0.29, P less then .001), and scapular translation (R = -0.23, P less then .001). CONCLUSION Scapular orientation and posture should be integrated into the determination process of humeral component retrotorsion in RTSA. In theory, implantation of the humeral component with increased retrotorsion leads to improved neutral opposition of th