Osteoporosis and Reverse Shoulder Arthroplasty Osteoporosis and Reverse Shoulder Arthroplasty Osteoporotic patients have a reduced rate of tuberosity healing. This may result in decreased range of motion.6 Osteoporotic patients have an increased risk of revisions and peri-prosthetic fractures.7,8 Lateralized RSA constructs result in increases in acromial stress fractures. This is of particular concern with osteoporotic patients.9