RCT Evaluating First Time Shoulder Dislocation

Inclusion Criteria: 1. Patients ages 14-40 years; 2. Diagnosis of first-time shoulder anterior dislocation having occurred within the past 3 months confirmed either by radiographic evidence or documented reduction of anterior shoulder dislocation as well as physical examination eliciting unwanted glenohumeral translation with reproduction of symptoms; 3. Provision of informed consent. Exclusion Criteria: 1. Patients that cannot undergo surgery or anesthesia; 2. Patients with concomitant injuries (rotator cuff tear, fracture) 3. Previous shoulder surgery; 4. Patients that will likely have problems with maintaining follow-up or are incarcerated; 5. Epilepsy/seizure disorder; 6. Pregnancy; 7. Diagnosis of multidirectional instability; 8. Bony glenoid defect (bony Bankart) \>10% as measured on preop imaging; 9. Dislocation without trauma, in a context of hyper laxity or atraumatic instability; 10. Cases involving litigation or workplace insurance claims (e.g., WSIB).