Sneads Ferry

Researchers are evaluating the outcomes of common surgical treatments for patients with traumatic anterior shoulder instability who have subcritical bone loss (10-20% of the glenoid width). This study focuses on military personnel and civilians aged 17 to 50 who have had an anterior shoulder dislocation and are undergoing one of three surgeries: arthroscopic Bankart repair with remplissage of a Hill-Sachs lesion, open Bankart repair, or Latarjet procedure. The goal is to understand how these surgeries combined with post-operative rehabilitation affect recovery and return to physically demanding activities over time. Participants will receive one of the three specified surgical procedures determined through shared decision-making with their surgeon. Following surgery, they will undergo post-operative rehabilitation tailored to their specific procedure and individual needs. This rehabilitation aims to improve range of motion, strength, and overall shoulder function. The study follows participants for 24 months after surgery to track recovery progress and identify factors that influence successful outcomes. During the study, participants will be regularly assessed using the Western Ontario Shoulder Instability Index (WOSI) at 3, 6, 12, and 24 months after surgery. Researchers will also monitor the time it takes for participants to return to their pre-injury levels of military duty, work, or sports, as well as record any recurrent shoulder instability or re-injury during this period. Additional information on rehabilitation participation and patient-reported physical function will be collected to help predict long-term recovery and quality of life.