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Arthroscopic and Open Bankart Repair
Patients who present with a history of a traumatic shoulder dislocation should undergo a comprehensive history and a physical examination of both shoulders. Overhead and contact athletes with documented anteroinferior glenohumeral instability should be considered for either arthroscopic or open Bankart repair. Older and recreational athletes without engaging Hill-Sachs lesions or large (> 25%) bony Bankart lesions should be initially considered for a supervised physical therapy program. In patients who have recurrent dislocation events or those with persistent symptoms despite initial nonsurgical management, we recommend surgical intervention. Arthroscopic Bankart repair has emerged as an equivalent treatment method for successful stabilization compared with the previous gold standard of open repair techniques.