What are the odds of a second shoulder dislocation?

Answered by Michael Wilson

The risk of experiencing a second shoulder dislocation, also known as recurrent instability, can vary depending on various factors, including age. It is important to note that these statistics are not absolute and individual cases may vary.

In individuals under the age of 20 who experience a shoulder dislocation, the rate of recurrent instability is reported to be between 72% and 100%. This means that the majority of young individuals who have had a shoulder dislocation are likely to experience a second dislocation. This high rate of recurrence can be attributed to several factors, including the inherent laxity of the shoulder joint in younger individuals and the potential for underlying structural abnormalities.

For those aged between 20 and 30 years old, the rate of recurrent instability is slightly lower, ranging from 70% to 82%. While still relatively high, there may be a slight decrease in the likelihood of experiencing a second dislocation compared to younger individuals. However, it is important to note that the risk remains significant, and proper management and treatment are crucial to reduce the chances of recurrence.

In individuals over the age of 50, the risk of recurrent instability decreases further, with rates ranging from 14% to 22%. This lower rate can be attributed to several factors, including changes in the shoulder joint structure and decreased activity levels in older individuals. However, it is important to note that even in this age group, there is still a notable risk of experiencing a second dislocation.

It is worth mentioning that these statistics are general estimates and can vary depending on individual factors such as the severity of the initial dislocation, underlying joint abnormalities, and the effectiveness of treatment and rehabilitation. Additionally, the risk of recurrent instability can also be influenced by factors such as participation in high-risk activities or sports that place increased stress on the shoulder joint.

The odds of experiencing a second shoulder dislocation, or recurrent instability, can vary depending on age. Younger individuals, particularly those under 20 years old, have a higher risk of recurrence, with rates ranging from 72% to 100%. The risk decreases slightly in individuals aged 20 to 30, with rates ranging from 70% to 82%. In individuals over the age of 50, the risk of recurrence is lower, ranging from 14% to 22%. However, it is important to remember that these statistics are not absolute and individual cases may vary. Proper management and treatment, including rehabilitation exercises and potentially surgical interventions, can help reduce the likelihood of experiencing a second shoulder dislocation.