What the operations are
When the shoulder dislocates forwards, the rim of cartilage around the socket (the labrum) and the ligaments at the front of the joint can tear or stretch: this is called a Bankart lesion. A Bankart repair reattaches the labrum to the socket with small anchors carrying stitches, and tightens the stretched capsule. It is usually keyhole (arthroscopic) surgery, sometimes done through a small open cut.
A Latarjet is used when bone has been lost from the front of the socket, usually after repeated dislocations. The surgeon moves the tip of the coracoid, a hook of bone on the shoulder blade, with the muscles attached to it, onto the front of the socket and fixes it with screws. Because one of the biceps tendons is attached to the coracoid, one NHS plan avoids resisted biceps work for 6 weeks after a Latarjet.
Open operations usually go through the subscapularis, the muscle at the front of the shoulder, and one NHS trust says therapy "goes even slower after surgeries where the front shoulder muscles have been cut". European experts see a role for adding bone when the socket has lost more than about 20% of its bone, and from 10% to 15% in some cases, especially if the ball of the joint is dented too.
Sources 1, 2, 3, 4, 5, 6, 7
Who has it
The NHS says that after a dislocation, surgery is sometimes needed to reduce the risk of the same shoulder dislocating again. It's for shoulders that keep dislocating or slipping, usually after an injury. For instability without a significant injury, one NHS trust doesn't recommend surgery unless a long course of physiotherapy hasn't worked. Our shoulder dislocation guide covers that decision, including how the risk of it happening again changes with age.
Sources 8, 3, 6
What the sling and the safe positions are for
The sling protects the repair while the labrum heals back onto the bone. NHS plans keep it on for about 3 weeks, or for 3 to 6 weeks day and night, taking it off only to wash, dress and exercise. A UK consensus says up to 3 weeks, and that it can come off earlier if you can manage.
The safe zone is the range you can move in during those weeks: lifting the arm in front of you, usually no higher than shoulder height, with the forearm turned out no further than pointing straight ahead. The position to avoid is the arm out to the side and turned back, as in throwing or putting your hands behind your head. It's the position a shoulder dislocates forwards in, and it stretches the front of the joint where the repair is healing, so NHS plans keep you out of it for about 12 weeks.
Sources 9, 10, 11, 3, 1, 4
What recovery usually looks like
The British Elbow and Shoulder Society's 2026 practice guideline sets out five phases. Your own team's plan and timings come first.
- Weeks 0 to 3: protecting the repair and learning what to do, in the sling.
- Weeks 3 to 6: movement and early strengthening, as you come out of the sling.
- Weeks 6 to 12: building strength and full movement.
- After 12 weeks: the return to sport, then high-level activity.
- Day to day: desk work from about 2 weeks, driving at about 6 weeks, and manual or overhead work from about 8 to 12 weeks in NHS plans. One NHS trust says full recovery can take up to 6 months.
Sources 12, 3, 4, 1, 6
Could it slip out again?Emerging evidence
It can, though much less often than before surgery. In a review of 1,652 repairs followed for at least 5 years, the shoulder dislocated again after 15.1% of keyhole Bankart repairs, 7.7% of open Bankart repairs and 2.7% of Latarjets. Ten or more years after a keyhole Bankart repair, about a third had some instability again (16% a full dislocation), and in a more recent series 21% had it again at about 14 years, more often in people aged 20 or under at the time of surgery.
Contact and collision sports raise the risk. After a keyhole Bankart repair, 7% to 29% of these athletes had it again, against 0% to 14% of other athletes, with wide differences between sports. In contact athletes, an open Bankart repair (7%) or a Latarjet (7%) had fewer recurrences than a keyhole Bankart repair (15% to 18%). These are mostly observational studies.
Sources 13, 14, 15, 16, 17, 18
What a scan after surgery does and doesn't meanEmerging evidence
After a Latarjet, scans often show some thinning of the bone that was moved. Across 22 studies it was reported in 7.5% to 100% of shoulders, while the operation failed in up to 7.5%. In one series, severe thinning around a screw (in 27% of 62 scans) made no difference to how people rated their shoulder.
Ten years after a keyhole Bankart repair, X-rays showed signs of wear in 59%, moderate or severe in 11%. A finding on a scan describes the bone. Pain, slipping and apprehension are what matter, and your team reads a scan alongside them.
Sources 19, 20, 14