A method of preparing a shoulder to receive a glenoid component includes accessing a glenoid of a shoulder, positioning a distal portion and a proximal portion of a combination power extension/anti-rotation device on a guide wire positioned in the shoulder and reaming a hole in the shoulder using the combination power extension/anti-rotation device with the distal portion and the proximal portion positioned on the guide wire. The proximal portion is removed from the guide wire and pivoted with respect to the distal portion while the distal portion is still positioned on the guide wire. The picoted proximal portion is used to rotate an instrument to a first position and a bore is formed in the glenoid through the instrument with the instrument at the first position.