Shoulder Instability
Shoulder instability occurs when the ball-and-socket joint of the shoulder moves excessively, leading to a feeling of looseness, subluxation, or complete dislocation. It is particularly common in overhead and contact sport athletes.
Book ConsultationSymptoms
- Feeling that the shoulder may "pop out"
- Recurrent shoulder dislocations
- Pain with overhead activities
- Apprehension with arm in certain positions
- Weakness and reduced function
Causes & Risk Factors
- Traumatic dislocation damaging the labrum (Bankart lesion)
- Repetitive overhead activities
- Genetic ligamentous laxity
- Muscle imbalances around the shoulder
Diagnosis
Dr. Magar conducts a thorough clinical history and physical examination, supported by appropriate imaging (X-ray, MRI, ultrasound) to accurately diagnose and stage the condition before recommending treatment.
Treatment Options
- Physiotherapy and rotator cuff strengthening for mild instability
- Activity modification
- Arthroscopic Bankart repair for traumatic instability
- Latarjet procedure for significant bone loss
- Structured rehabilitation programme
Frequently Asked Questions
Will my shoulder dislocate again after one dislocation?
Re-dislocation rates are high, especially in young athletes. Those under 25 years have up to 80% recurrence risk without surgical stabilisation.
Is surgery always required for shoulder instability?
Not always. Physiotherapy can successfully manage mild instability. Recurrent traumatic dislocations in athletes generally benefit from surgical stabilisation.