Mahendraraj KA, Abboud J, Zimmer Z, et al. - Researchers conducted a multicenter study from the American Shoulder and Elbow Surgeons (ASES) Complications of reverse shoulder arthroplasty (RSA) Multicenter Research Group to ascertain the incidence of Acromial (ASF) and scapular spine (SSF) after RSA, and distinguished preoperative patient characteristics associated with their occurrence. Researchers enrolled 15 institutions including 21 ASES members across the United States who had undergone either primary or revision RSA between January 2013 and June 2019 with a minimum three-month follow-up. This study’s findings reveal that severe rotator cuff disease may play an important role in the occurrence of stress fractures following RSA. This information can be applied to counsel individuals about potential setbacks in recovery, particularly among older women with suboptimal bone health. Strategies for the prevention of ASF and SSF in these at-risk patients need future evaluation. For the decision-making process, a follow-up study assessing the impact of prosthetic factors on the incidence rates of ASF and SSF may prove highly valuable.