Recurrent Shoulder Dislocation
Restoring stability with arthroscopic Bankart repair or Latarjet, chosen after CT bone-loss assessment, in Cairo.
1. Understanding Recurrent Dislocation & Bankart Lesions
Recurrent shoulder dislocation occurs when the shoulder slips out of its socket repeatedly, usually following a traumatic injury. The primary cause is a Bankart Lesion (a tear in the labrum). In Cairo, we see this frequently in . If left untreated, each dislocation leads to progressive , making future repairs more complex.
2. The American Center for Knee and Shoulder Surgeries Clinical Advantage (EEAT)
Success in shoulder stability is defined by the technical ability to restore the ‘suction cup’ effect of the joint.
Led by Prof. Dr. Ibrahim Abdelmonem
Prof. Dr. Ibrahim Abdelmonem, fellowship-trained Professor of Orthopaedic Surgery at Ain Shams University, follows evidence-based surgical standards. His focus is on achieving a ‘tension-free’ repair that allows for maximum mobility without sacrificing stability.
Evidence-Based Imaging
We utilize the ‘Glenoid Track’ concept, an Evidence-Based Medicine (EBM) standard used to determine if a patient requires a simple Bankart repair or a bone-block procedure like the Latarjet Procedure.
Strict AAOS Safety Compliance
Our center follows the AAOS Clinical Pathways, ensuring that every patient receives a standardized diagnostic workup equivalent to top-tier US sports clinics.
3. Comparison: Bankart Repair vs. Latarjet Procedure
Choosing the right procedure depends on the amount of bone damage present in the socket.
| Feature | Arthroscopic Bankart | Latarjet (Bone Block) |
|---|---|---|
| Indication | Soft tissue tear only | Massive Bone Loss (>20%) |
| Incision | 5mm (Keyhole) | 5 – 7 cm |
| Recurrence Risk | Low (in selected cases) | Extremely Low |
4. The Arthroscopic Pathway
The aim is a stable shoulder with a low risk of recurrence.
High-Definition Arthroscopy
A high-definition arthroscope is used to check the whole joint for associated injuries such as ALPSA or HAGL lesions, which change the surgical plan.
Knotless Suture Anchor Technology
Knotless anchors can be used to reduce irritation of the cartilage and provides a lower-profile repair, allowing for a more natural range of motion during the rehabilitation phase.
Remplissage Augmentation
For patients with large ‘Hill-Sachs’ defects (dents in the humerus), we perform an arthroscopic Remplissage. This ‘Orthobiologic’ filling technique acts as a biological checkrein to prevent the shoulder from catching.
5. Recovery and Sports Re-integration Protocols
Our rehabilitation roadmap is built on US neuromuscular training standards.
- Phase 1 (Week 1-4): Sling protection with early pendulum and isometric exercises.
- Phase 2 (Week 6-12): Restoration of full ROM and rotator cuff strengthening.
- Phase 3 (Month 4+): Return-to-play testing including ‘Y-Balance’ and power metrics.
Patient Success Stories
“Very impressed with the 3D planning. They showed me my bone loss and explained why the Latarjet was safer for me. Honest and highly scientific approach.”
— Mr. Khaled M.
Frequently Asked Questions (2026)
Clinical References:
- American Academy of Orthopaedic Surgeons (AAOS), OrthoInfo: Chronic Shoulder Instability
- Peckston, et al. A comparison of arthroscopic Bankart repair and the Latarjet procedure in contact athletes with anterior shoulder instability: a systematic review and meta-analysis. Am J Sports Med. 2026. doi:10.1177/03635465261441255
