ANTERIOR SHOULDER INSTABILITY: COMPARISON BETWEEN CONSERVATIVE AND SURGICAL TREATMENT

Abstract

Anterior shoulder instability is common, especially in young people and athletes, and can cause pain, limitation of movement, and recurrence of dislocations. Treatment can be conservative, with physical therapy, or surgical, including arthroscopic repair and Latarjet surgery. This review compared conservative and surgical approaches to anterior shoulder instability. Articles from the PubMed, Scielo, LILACS, and MedLine databases were analyzed, using the descriptors "anterior shoulder instability", "conservative treatment", "surgery", and "rehabilitation". 10 articles published between 2013 and 2023 were selected. Conservative treatment is indicated for cases without severe structural injuries, prioritizing muscle strengthening and proprioception. The surgical approach, indicated for recurrent dislocations and bone involvement, reduces recurrence rates and improves performance in athletes and active individuals. The therapeutic choice must be individualized, considering clinical and functional factors. Surgery offers greater stability in severe cases, while rehabilitation can be effective in selected patients. Further studies are needed to refine the indications and treatment protocols.