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Implantation rates of reverse total shoulder arthroplasties continue to grow worldwide. Despite satisfying results, a distinct number of complications persist. Intraoperative fractures of the humeral shaft might occur in a certain number of cases. The literature is sparse regarding incidence and treatment options. This study analyzed the treatment using suture cerclage or stainless-steel-cable cerclage. Our prospectively followed-up cohort of 860 patients who received primary reverse total shoulder arthroplasty in a tertiary referral ho