[Management of shoulder instability]

Management of shoulder instability. Shoulder instability is a commonly encountered problem in young active athletes. Instability is most often due to a traumatic gleno-humeral dislocation. The diagnosis is based on clinical apprehension tests and on diagnostic imaging. Most frequent lesions are Bankart lesion and Hill-Sachs injury. Shoulder instability could be managed conservatively with rehabilitation or surgically. The therapeutic indication should be discussed taking into account several criteria such as: traumatic versus atraumatic mechanisms, hyperlaxity, age, number of dislocations, type of work and sports activities and the presence of associated lesions.