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Shoulder · Dislocation

Shoulder Instability

Diagnosis & treatment by Kevin O'Donnell, MD — Coral Gables, FL

Overview

Shoulder instability is recurrent slipping or full dislocation of the ball from the socket, usually after the stabilizing ligaments or labrum are injured. It is common in contact-sport athletes and after a first traumatic dislocation, particularly in younger patients.

Common Symptoms

  • Repeated feeling that the shoulder will 'slip out'
  • Prior dislocation that required reduction
  • Apprehension with the arm overhead and back
  • Weakness or numbness after an episode

Causes & Risk Factors

  • Traumatic first-time dislocation
  • Ligament laxity
  • Repetitive overhead stress
  • Labral (Bankart) injury or bone loss

Treatment Options

  • Bracing and a strengthening program
  • Activity modification
  • Arthroscopic stabilization (Bankart repair)
  • Latarjet procedure for significant bone loss

Recovery & What to Expect

Rehabilitation can succeed for some patients; recurrent instability is best treated surgically. After stabilization, return to contact sport is typically 4–6 months.

This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.