Shoulder Instability Trial Comparing Arthroscopic Stabilization Benefits Compared with Latarjet Procedure Evaluation - STABLE Definitive Trial

Participation Requirements

• Sex:

  ALL

• Eligible Ages:

  18 to 50

Participation Criteria

Inclusion Criteria:

1. Adults ages 18-50 years;
2. Diagnosis of post-traumatic recurrent anterior dislocation. This will require a minimum of 2 episodes of documented dislocations either by radiographic evidence or documented reduction of anterior shoulder dislocation as well as physical examination eliciting unwanted glenohumeral translation with reproduction of symptoms;
3. Subcritical glenoid bone loss as defined on CT by standardized and reproducible best-fit circle technique (\>10% but \<20%);
4. Provision of informed consent.

Exclusion Criteria:

1. Patients with concomitant injuries of the index shoulder (cuff tear, greater tuberosity fracture);
2. Previous shoulder surgery;
3. Patients that will likely have problems, in the judgment of the investigators, with maintaining follow-up;
4. Epilepsy/seizure disorder;
5. Patients who are currently incarcerated;
6. Diagnosis of multidirectional instability;
7. Cases involving litigation or workplace insurance claims (e.g. WSIB);
8. Confirmed connective tissue disorder (Ehlers-Danlos, Marfans) or Beighton hypermobility score \> 6.
9. Pregnancy.