Recently, we have discussed a lot of knee problems, and many patients have written to Mr. Luo asking for advice. I hope Mr. Luo’s reply can help you, and I hope our sick friends will recover soon! Recently, while discussing the knee joint, Mr. Luo found that many friends asked about other joints. One of the more frequently asked questions is: What about recurrent dislocation of the shoulder joint? Today, Mr. Luo will talk to you about it, and I hope it will be helpful to you. The shoulder joint is the most mobile joint in the human body, which means it is also the most susceptible to dislocation. A peer analogy is most apt: a basketball placed on a plate is more flexible than in a bucket, but it is more likely to roll out. Dislocation can cause laxity or tearing of the surrounding joint capsule, glenoid labrum, ligaments and tendons. Therefore, a shoulder that has been dislocated once becomes more “loose” and can easily be dislocated again, becoming a habitual shoulder dislocation. Some people are able to reset themselves, others need to be reset by a doctor, and some have to be reset under anesthesia. After multiple dislocations of the shoulder joint, the soft tissue damage limiting the joint becomes more and more severe, and the bone is damaged by the compression. Given the high rate of re-dislocation after the initial dislocation, even with proper management, there is an opinion that the capsular ligament and glenoid labrum should be repaired arthroscopically in the shoulder after the initial dislocation has occurred. I do not disagree with this view. However, for habitual shoulder dislocations, I do recommend early surgery when available. With each dislocation, more damage is done and it becomes more difficult to treat later. Some people have recurrent shoulder dislocations that are not very painful, easy to reset, and more hoodwinked – as the injury continues to worsen, perhaps he will have to spend his old age suffering shoulder pain, perhaps requiring replacement of the artificial joint. There are two types of surgery: minimally invasive, with arthroscopic repair of the glenoid labrum (which may also require additional adjuvant surgery, such as bone grafting, as needed); and open, with bony reconstruction of the shoulder glenoid and soft tissue tightening. The type of surgery used depends on the extent of the lesion: open surgery is required if there is a lot of scapular glenoid damage, while arthroscopic repair is possible. The choice of surgical procedure is based on physical examination and imaging evaluation. At present, it is still difficult to perform functional reconstruction surgery under shoulder arthroscopy, and there are not many shoulder arthroscopists in China. Many large tertiary hospitals may not even be able to find a surgeon who performs this procedure. Therefore, you must consult and collect more information before making a favorable judgment before you need to do such a surgery as shoulder arthroscopy.