Shoulder Surgery: Anterior Stabilisation with Capsular shift +/- Bankart repair

Indications for operation

Recurrent traumatic or atraumatic anterior instability with capsular redundancy


General Anaesthetic with an interscalene block (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type

Arthroscopic and Open


1) 3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.

2) A delto-perctoral incision. This is a 5 cm incision in the front of the shoulder running from just below the clavicle (collarbone) towards the axilla (armpit)


The gleno-humeral (shoulder) joint will be inspected first arthroscopically followed by the subacromial bursa and the rotator cuff.

After the incision has been made the joint is exposed using the delto-pectoral incision. If there is a Bankart lesion the area where the labrum has become detached will be freshened up and the labrum reattached to the glenoid using 2 or 3 sutures secured to the bone using "suture anchors". The excess shoulder joint capsule will be tightened and secured with sutures.

Wound Closure

Small butterfly paper stitches will be used to close the small wounds. The larger wound will be closed with a single dissolving stitch running under the skin and paper stitches will be used over the top.


Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of all of the wounds.

Immediate aftercare

An immobiliser sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.

Further instructions for Shoulder Stabilisation rehabilitation