Shoulder instability is a common occurrence with collision-based sports such as tackle football and rugby. Extensive available data suggests that repeat instability events for high school age athletes is exceptionally common, and for that reason orthopedic surgeons have become more likely to recommend surgery for first time shoulder instability.
However, recently published data shows that shoulder instability events can often be managed non-surgically with high rates of successful return in the same season. Furthermore one study indicates a very high rate of continued sport participation in the following season. This study shows that first time shoulder instability for athletes participating in collision-based sports can be managed without surgery in a much higher percentage of patients than we have previously believed.