What Is a Failed Shoulder Instability...It Includes More Than Recurrent Dislocation

Abstract

Shoulder instability, particularly prevalent among athletes and military personnel, poses significant challenges in both diagnosis and treatment. This chapter explores the multifaceted nature of shoulder instability, distinguishing between dislocation and subluxation, and highlights the critical role of careful patient selection in achieving successful surgical outcomes. Risk factors contributing to failed shoulder stabilization, including patient-related factors, pathoanatomical conditions, and technical errors, are analyzed. Furthermore, this chapter reviews clinical outcomes for various revision procedures, such as arthroscopic and open Bankart repairs, Latarjet procedures, and bone block procedures, emphasizing the importance of addressing underlying risk factors to optimize recovery and return-to-play rates. Overall, effective management of failed shoulder instability repairs requires a comprehensive understanding of the factors influencing recurrence and a tailored approach to each patient's unique situation.