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Shoulder

Recurrent Shoulder Instability

Recurrent shoulder instability describes repeated episodes of the humeral head translating excessively out of the glenoid socket — either partially (subluxation) or fully (dislocation). It is most common in young athletes and those with underlying structural damage such as a Bankart lesion.

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Typical Recovery Time
Return to sport 4–6 months post-surgery

Symptoms

  • Repeated shoulder dislocations or subluxations
  • Apprehension with arm in abduction and external rotation
  • Clicking, catching, or giving way
  • Decreased confidence using the arm overhead
  • Shoulder pain with specific positions

Common Causes

  • Initial traumatic dislocation with unhealed soft tissue
  • Bankart lesion (labral avulsion)
  • Hill-Sachs bone defect on humeral head
  • Generalized ligamentous laxity
  • Inadequate rehabilitation after first dislocation

Treatment Options

1Structured rotator cuff and periscapular strengthening program
2Bracing for contact sports
3Arthroscopic Bankart repair
4Latarjet procedure for bone loss cases
5Remplissage procedure for Hill-Sachs engagement

When to See a Doctor

Surgical consultation is strongly recommended after two or more dislocation episodes, especially in young active patients.

Frequently Asked Questions

What is recurrent shoulder instability?
Recurrent shoulder instability occurs when the shoulder repeatedly slips out of place or feels unstable. This often happens after a previous dislocation. It can affect daily activities and sports performance.
What causes recurrent instability?
It is commonly caused by prior shoulder dislocations that damage stabilizing structures like the labrum. Ligament laxity and high-demand sports can increase the risk. Younger athletes are more prone to recurrence.
What are the symptoms?
Symptoms include a feeling that the shoulder may slip out, pain, and weakness. Some patients experience repeated dislocations or subluxations. Certain movements may trigger instability.
How is it treated?
Treatment may begin with physical therapy to strengthen the shoulder and improve stability. Activity modification is often recommended. Surgery may be needed if instability continues or dislocations recur.
When can I return to sports?
Return to sports depends on stability, strength, and treatment approach. Non-surgical recovery may take several weeks to months. Surgical recovery often requires several months before full return.

Providers Who Treat Recurrent Shoulder Instability

Sports medicine specialists near you

Dr. Gregory Rubin
Gregory Rubin, DO
Primary Care Sports Medicine
📍 Naples, FL
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DA
Adam Skipper, DO
Primary Care Sports Medicine
📍 Naples, FL
✓ Accepting Patients
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