# Shoulder Innovations vs ASES 365

The clearest difference is ads: Shoulder Innovations at none against ASES 365's shown. ASES 365's advantage is update cadence (every 6 weeks vs every 5 months). On price, in-app purchases, device support and iOS requirement there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Shoulder Innovations ships an update every 5 months, ASES 365 every 6 weeks. The most recent releases landed on September 22, 2026 and September 9, 2026 respectively.

## The numbers

| Metric | Shoulder Innovations | ASES 365 |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | Every 5 months | **Every 6 weeks** |
| Size | 17 MB | 50 MB |
| Requires iOS | 16.6 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 4+ |
| Developer | [Genesis Innovation Group](https://appshunter.io/developer/1405709071) | [AMERICAN SHOULDER & ELBOW SURGEONS](https://appshunter.io/developer/1436368453) |

## What reviewers say

### Shoulder Innovations

[App page](https://appshunter.io/ios/app/shoulder-innovations/id1547031979)

**Features:** macOS Compatibility

**In-app purchases:** none


### ASES 365

[App page](https://appshunter.io/ios/app/ases-365/id6478601365)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Shoulder Innovations free?

Shoulder Innovations is free to download, with no in-app purchases.

### Is ASES 365 free?

ASES 365 is free to download, with no in-app purchases.

### Do Shoulder Innovations or ASES 365 have ads?

ASES 365 shows ads; Shoulder Innovations does not.

### Which is updated more often, Shoulder Innovations or ASES 365?

Shoulder Innovations ships an update every 5 months, and ASES 365 every 6 weeks. Most recently, Shoulder Innovations was updated on September 22, 2026 and ASES 365 on September 9, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*