The angle and length were determined by bike fitter to relieve neckshoulderhand pain. The length and angle of the stem is doing just what it was intended to do. I am able to ride more comfortably and longer as a result.
Ritchey quality and tall enough to rescue my lower back using what steerer tube is available. Doesn't look completely out of place on a nice bike and for me this simple stem keeps me riding a nice 8 year old Ti bike that otherwise fits great.