FROM PRIMARY TRAUMATIC DISLOCATION TO CHRONIC SHOULDER INSTABILITY: ARTHROSCOPIC BANKART REPAIR IN A YOUNG ACTIVE PATIENT

JAHIJA, Alba and Alili, Roland and RESHITI, Erblira (2026) FROM PRIMARY TRAUMATIC DISLOCATION TO CHRONIC SHOULDER INSTABILITY: ARTHROSCOPIC BANKART REPAIR IN A YOUNG ACTIVE PATIENT. In: INTERNATIONAL CONFERENCE “FROM RESEARCH TO APPLICATION”, 20 May, 2026.

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Abstract

Anterior shoulder dislocation is the most common major joint dislocation and is seen particularly in young active adults. Recurrent instability may develop after a first traumatic dislocation, especially in patients treated conservatively. This paper presents the case of a 28-year-old male patient with recurrent anterior instability of the right shoulder associated with a Bankart lesion. The patient experienced his first traumatic anterior shoulder dislocation while swimming recreationally. Closed reduction was performed, followed by conservative treatment and temporary immobilization. During the following year, he experienced several recurrent dislocations after minimal trauma, including a fall from bed during sleep and shoulder movement while taking off his clothes. Over time, the patient reported increasing fear of shoulder movement and limitation during daily activities. Clinical examination showed findings consistent with chronic anterior shoulder instability, including positive apprehension testing. Magnetic resonance imaging (MRI) demonstrated an anteroinferior labral tear compatible with a Bankart lesion. Because of recurrent low-energy dislocations and persistent functional limitation, arthroscopic Bankart repair using suture anchors was performed. Postoperatively, the shoulder was immobilized for a short period, followed by a structured physiotherapy and rehabilitation program with gradual return of range of motion and strengthening exercises. At 18-month follow-up, the patient had regained full shoulder function without further episodes of instability. He successfully returned to normal daily and recreational activities and reported significant improvement in shoulder confidence and quality of life. This case demonstrates the progression from primary traumatic anterior shoulder dislocation to recurrent instability in a young active patient. It also highlights the importance of MRI evaluation in recurrent cases and the role of timely surgical stabilization when conservative treatment fails.

Item Type:	Conference or Workshop Item (Paper)
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Unnamed user with email zshi@unite.edu.mk
Date Deposited:	22 Sep 2026 13:02
Last Modified:	22 Sep 2026 13:02
URI:	http://eprints.unite.edu.mk/id/eprint/2454

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