Abstract
INTRODUCTION: Recurrent anterior shoulder dislocation is a common sequela of traumatic shoulder injury in young adults, particularly athletes. Delayed treatment often leads to complex pathoanatomy, including Bankart and Hill-Sachs lesions. The combination of arthroscopic Bankart repair and remplissage has become a reliable solution in selected patients. CASE REPORT: We present the case of a 36-year-old male with a 14-year history of recurrent anterior shoulder dislocations, initially sustained during sports activity. Despite frequent episodes, all were self-managed without medical attention. Radiological evaluation revealed a Bankart lesion, on-track Hill-Sachs defect, and minimal glenoid bone loss. The patient underwent arthroscopic Bankart repair with remplissage. Post-operative recovery was uneventful, with satisfactory stabilization. CONCLUSION: This case highlights the importance of comprehensive clinical and radiological assessment in chronic shoulder instability. Arthroscopic intervention combining Bankart repair and remplissage offers effective management in patients with minimal bone loss and non-engaging Hill-Sachs lesions.