This document discusses the principles of reverse shoulder replacement. It begins by describing the components of the rotator cuff. It then explains how rotator cuff tears can lead to instability and superior subluxation of the humeral head. The concept of the reverse shoulder replacement, developed by Professor Grammont, is introduced as a way to medialize the center of rotation and increase deltoid function to restore force balance. The document outlines the clinical assessment, surgical technique, rehabilitation, and results of the reverse shoulder replacement procedure.