What is shoulder instability?

Shoulder instability is a condition in which the humeral head displaces from the glenoid cavity (subluxation or dislocation). After the first dislocation in young people, the risk of recurrence is 80-90%.

Types of instability:

  • Traumatic — after dislocation, Bankart lesion
  • Atraumatic — hypermobility, multidirectional
  • Microninstability — subluxations without full dislocation

Injuries:

  • Bankart — detachment of labrum
  • Hill-Sachs — impression fracture of humeral head
  • SLAP — detachment of superior labrum
  • Capsule strain — volume increase

Facts

  • ICD-10: M25.31
  • Recurrence: 80-90% (up to 25 years)
  • Age: 15-35 years
  • After surgery: recurrence 5-15%

Symptoms of instability

Typical complaints

  • Recurrent subluxations or dislocations
  • Sensation of «head slipping out»
  • Pain with abduction and external rotation
  • Fear of recurrent dislocation
  • Sports restriction

Consequences without treatment

  • Increased frequency of dislocations
  • Progression of Bankart lesion
  • Bone loss (glenoid bone loss)
  • Development of shoulder osteoarthritis
  • Inability to participate in sports

When regenerative treatment is particularly effective

  • After first dislocation (recurrence prevention)
  • Mild and moderate instability
  • Microninstability in athletes
  • Supplement to rehabilitation

How regenerative treatment treats instability

01

MRI diagnosis

MRI determines the type of injury (Bankart, SLAP, Hill-Sachs), condition of capsule and ligaments, bone loss. Feasibility of regenerative treatment is assessed.

02

Obtaining Concentrates

CGF — connective tissue growth factors. MFAT — stem cells for regeneration of the labrum, capsule, and ligaments.

03

Injection into the Area of Damage

Under Ultrasound guidance navigation, concentrates are injected into the damaged labrum, stretched capsule, and ligaments — to strengthen stabilizing structures.

04

Strengthening Stability

Stem cells regenerate the labrum and synthesize collagen in the capsule and ligaments, restoring stability. In combination with neuromuscular training — lasting result.

Regenerative method Advantages

A broad range of indications

Regenerative methods are used for many orthopaedic and spinal conditions. Some cases still call for surgery.

No anesthesia or incisions

Outpatient treatment via 0.3-1.5 mm puncture. No general anesthesia or hospitalization.

No age restrictions

Regeneration at any age. Safe for chronic conditions and anesthesia intolerance.

Rapid improvement

Concentrates have analgesic and anti-inflammatory properties. Relief within days.

Multiple zones at once

Simultaneous treatment of multiple discs or joints in one procedure.

Home the same day

No crutches, braces or rehabilitation needed. MRI follow-up at 8-16 weeks.

Regenerative treatment Technology

Navigation system for minimally invasive access

Navigation system

Intraoperative robotic navigation system. Provides precise access to deep structures with 1 mm and 1 degree accuracy.

Ultrasound guidance during the procedure

Ultrasound guidance

Device for intervention under sonographic control. Eliminates open surgeries with real-time visual monitoring.

More about technologies →

Frequently Asked Questions about Treatment of Instability

Does regenerative treatment replace Bankart surgery?
For mild and moderate instability, regenerative methods can be an alternative to surgery — strengthening the capsule and regeneration of the labrum restore stability. For severe instability with bone loss, surgery may be required, but regenerative treatment accelerates suture integration and recovery.
Will it help after the first dislocation?
Yes, this is the ideal time for regenerative treatment. After the first dislocation, the labrum and capsule are damaged but can still be restored. Regenerative concentrates accelerate healing and significantly reduce the risk of recurrent dislocations (from 80-90% to a much lower level).
How quickly can one return to sports?
Light activity — within a few days. Non-contact sports — after 4-6 weeks. Contact sports — after 8-12 weeks. After arthroscopic stabilization, return to contact sports takes 6-9 months.

Other conditions: Shoulder Joint

Rotator Cuff TearFrozen ShoulderShoulder ImpingementCalcific TendinitisShoulder ArthrosisShoulder Bursitis

Also treated with regenerative methods

Herniated DiscSpinal StenosisOsteochondrosisSpondylolisthesis
All treatment areas: SpineHip JointKnee JointHand & WristFoot & Ankle
Treatment Compare Methods Cost

Clinic and method matching — free of charge

Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within two working days.

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