Dr. Walter G. Stanwood: So many times, patients would come into my office complaining of shoulder pain and maybe even a sense of slipping of the shoulder or a looseness of the shoulder. Even times, patients would come in after a traumatic injury, such in a football or lacrosse and the shoulder actually dislocates. Oftentimes, these are different types of injuries; some, frankly, aren’t even injuries, they’re just overuse phenomenon that overtime the shoulder can stretch out. A true traumatic dislocation creates a labral tear about 85% of the time. Those patients, the younger you are, unfortunately, has a much higher risk of remaining unstable. And overtime, each dislocation you have is easier and easier than the next, causing trauma each time it dislocates, ultimately requiring surgery. On the other hand, patients that come in, oftentimes, swimmers, overhead athletes, sometimes more often in females that we find have what we call increase ligamentous laxity. These patients create a slow stretch of the shoulder, if you will, doesn’t always tear the labrum but they also will feel a sense of instability or looseness in the shoulder. Both of these injuries can, oftentimes, respond to therapy. But if they don’t, surgery is successful in a vast majority of patients.