Shoulder Stabilization
Specialized management by Dr. Stéphane Vasseur
Indications
- Recurrent dislocations/subluxations in active patients
- Disabling apprehension despite rehabilitation
- Glenoid bone loss/engaging Hill-Sachs
Operative principle
Capsulolabral repair (Bankart) under arthroscopy for instability without significant bone loss. Coracoid transfer (Latarjet) when bone loss or major recurrences.
Postoperative course and rehabilitation
- Sling 2–3 weeks
- Progressive mobilization, strengthening from 6 weeks
- Return to contact sports: 3–6 months depending on procedure
Risks
- Stiffness, recurrence of instability
- After Latarjet: nonunion, nerve irritation (rare)