When not to shoulder on

WITH the onset of the winter sporting season, the incidence of anterior shoulder instability becomes increasingly common — and it is often taken too lightly by players, coaches, schools and health professionals.

It is, in fact, a catastrophic shoulder injury with serious implications for the function and subsequent longevity of the joint.

For example, after one dislocation the risk of developing osteoarthritis in that shoulder is around 20% (compared to the risk in the normal population of around 0.4%), and with each recurrent episode the