The other option is to perform surgery to repair the torn labrum. This surgery can be performed arthroscopically. When surgery is performed, the torn ligament is reattached to the socket of the shoulder.
The results of surgery are usually very good, with over 90% of patients returning to their activities without any further dislocations. More and more commonly this surgery is being performed arthroscopically; however, there are some patients who should have a Bankart repair performed through a standard incision.
Some orthopedic surgeons recommend surgery to repair a Bankart tear after an initial shoulder dislocation in young athletes. The usual treatment after a shoulder dislocation is a period of rest, followed by aggressive physical therapy, then a gradual return to activities. If the shoulder dislocates again, surgery is usually considered.
Some orthopedic surgeons will repair a Bankart tear after one dislocation in young athletes.
Because the chance of repeat dislocation is so high, especially in athletes who participate in contact sports, this type of immediate Bankart repair can be justified.
The concern of these surgeons, is that every time a shoulder dislocation occurs, damage can occur to the joint, including cartilage damage. Therefore, if there is a very high chance of repeat dislocation, then steps should be taken to prevent that from occurring.