Shoulder Pathologies

Shoulder Instability

Dislocation: a permanent loss of contact between the humeral head and the glenoid requiring emergency reduction.
Subluxation: a partial loss of contact between the humeral head and the glenoid
Shoulder pain with a feeling of instability (the"armed" arm position)


  • Assess for apprehension
  • Assess for signs of instability
  • Inferior subluxation of the humeral head
  • Assess for hyperlaxity (favours instability)

Standard X-Rays: AP (neutral, medial and lateral rotation) and bilateral Bernargeau view, glenoïd wear.
Arthroscan or arthro MRI: tear of the glenoid labrum and capsulo-ligamentous structures.


Arthroscopic procedures

Latarjet (+++): coracoid bone block
Bankart: Anterior capsulo-ligamentous tightening
Bankart and posterior filling: bipolar fixation


Latarjet: Bony lesion (contact sports : rugby, handball), 10 dislocations
Bankart: No bony lesion (recreational sports)
Bipolar locking: No glenoid bony lesion

Post-operative regimen:

  • Outpatient or 24 hour hospitalization
  • Sling for 10 days
  • Self-rehabilitation for 3 weeks
  • Physiotherapy starting on week 4
  • Swimming starting on week 6


  • Painless and stable shoulder with full motion
  • Recurrence rate
    • 2% to 3% after Latarjet
    • 5% to 10% after bipolar fixation
    • 10% to 15% after Bankart
  • Indications must be carefully selected

When can patients resume playing sports?

  • 3 to 6 months : contactless sports
  • 6 to 9 months : contact sports


Institut de la main

In 20 years of existence, the INSTITUT DE LA MAIN has become one of the main hand and upper limb surgery centers in Europe. Its nine surgeons on staff can treat all hand and upper limb problems. 


Contact Us

Institut de la Main
Clinique Bizet
21 rue Georges Bizet
75016 PARIS

Front Desk : +331 84 13 04 56

Hand Emergencies : +331 84 131 131