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Patella fractures comprise 1% of all fractures. Treatment options vary based on fracture displacement, classification, and patient factors. Traditionally, nonoperative treatment has been reserved for nondisplaced fractures. Many operative treatments are available with differing indications and levels of success. Tension band constructs have been the most commonly employed approach to fixation, with cerclage wiring for comminuted fractures. Recently, plate fixation of patella fractures has become more popular. Plating constructs offer a low-profile design with stable fixation, allowing for earlier mobilization and potentially improved functional outcomes. Data regarding the long-term outcomes of plating techniques are limited, and further studies are needed. [ Orthopedics . 2018; 41(6):e747–e755.]

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Recently, indications for reverse total shoulder arthroplasty have expanded to include glenohumeral arthritis, rotator cuff arthropathy, irreparable rotator cuff tears, complex proximal humerus fractures, sequelae of trauma, and failed shoulder prostheses. Dislocation is a common complication, with rates ranging from 1.5% to 31%. The literature pertaining to management of instability in reverse total shoulder arthroplasty is scanty. Assessment of the patient and biomechanical and surgical factors is critical in determining the best course of treatment. Future studies involving patient selection, prosthetic design, surgical technique, and biomechanics may help reduce the rate of instability.