Do I need surgery for a single (initial) shoulder dislocation?

  There is a misconception that if the dislocated joint is restored, it is “good”. In fact, a significant portion of initial shoulder dislocations require surgical treatment, otherwise they are very likely to become recurrent shoulder dislocations. This is because the structure of the joint has already been traumatized by the dislocation, and failure to repair it properly will lead to a vicious cycle of repeated dislocations and repeated injuries in the future. A timely repair can preserve the function of the shoulder joint and bring it closer to normal.  A single dislocation requires surgical treatment (usually minimally invasive arthroscopic surgery) in the following cases: Younger patients, especially those under 25 years of age, and if under 20 years of age, may be considered an absolute indication for surgery.  Those who are required to engage in antagonistic sports, or throwing sports.  Those with a combined anterior inferior scapular fracture (Bony Bankart injury).  So, a dislocated shoulder, even if it only happens once, needs to be actively sought out and seen by a medical professional, so that your doctor can help you evaluate whether you need surgery!