• Assess for apprehension
• Assess for signs of instability
• Inferior subluxation of the humeral head
• Assess for hyperlaxity (favours instability)

Standard X-Rays: AP (neutral, medial and lateral rotation) and bilateral Bernargeau view, glenoïd wear.
Arthroscan or arthro MRI: tear of the glenoid labrum and capsulo-ligamentous structures.

Arthroscopic procedures

Latarjet (+++): coracoid bone block
Bankart: Anterior capsulo-ligamentous tightening
Bankart and posterior filling: bipolar fixation

Latarjet: Bony lesion (contact sports : rugby, handball), 10 dislocations
Bankart: No bony lesion (recreational sports)
Bipolar locking: No glenoid bony lesion

Post-operative regimen:

• Outpatient or 24 hour hospitalization
• Sling for 10 days
• Self-rehabilitation for 3 weeks
• Physiotherapy starting on week 4
• Swimming starting on week 6

• Painless and stable shoulder with full motion
• Recurrence rate
  • 2% to 3% after Latarjet
  • 5% to 10% after bipolar fixation
  • 10% to 15% after Bankart
• Indications must be carefully selected

When can patients resume playing sports?

• 3 to 6 months : contactless sports
• 6 to 9 months : contact sports