Return to Sports After Shoulder Dislocation

Patrick J. Denard, MD

3 min read

Young football player running with a ball on the field

Shoulder dislocation can be a devastating event for athletes and active individuals. When these injuries occur during sports the first question for the athlete is often "When can I return?"

The management of shoulder dislocations has evolved over the years. In past years, multiple dislocations were tolerated. The athlete who dislocated his or her shoulder was treated with a short period of immobilization and allowed to keep playing. However, this approach was detrimental in the end.

What the study found

A recent study by Dickens et al. examined return to sport after arthroscopic shoulder stabilization (Bankart repair) compared to non-operative treatment. 39 collegiate athletes were followed, 10 of which elected for non-operative treatment (sling and strengthening) and 29 of which elected for arthroscopic repair. Return to play the following season was only 40% in the therapy group versus 90% in the arthroscopic repair group.

What this supports

This study provides further support for the surgical repair of shoulder instability. Non-operative treatment leads to recurrent instability in 39% to 94% of patients overall, and in 87% of patients under 20 years old.

Fortunately, arthroscopic techniques have significantly decreased the invasiveness of surgical treatment for shoulder instability. With arthroscopy, 3 to 4 stab incisions each only 1 cm in length can be used to anatomically repair the labrum and improve the likelihood of return to high demand activity.

Patrick J. Denard, MD

Dr. Denard is a shoulder surgeon at Oregon Shoulder Institute in Medford, Oregon. He is ranked #2 in North America for rotator cuff repair and #17 globally for shoulder replacement, has authored over 300 peer-reviewed publications, and performs over 400 shoulder surgeries annually.

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