96 patients undergoing total shoulder arthroplasty (TSA) were randomized to either the standard approach or the subscapularis-sparing approach. The purpose of this study was to determine the differences in incidence of humeral head malpositioning, incorrect sizing, and residual osteophytes on radiographs after surgery between the two approaches. Findings showed no significant differences in anatomical parameters between the two methods, although there was a greater incidence of residual osteophytes on postoperative radiographs observed following surgery in the subscapularis-sparing approach compared to the traditional approach.