The anterior soft tissue/labral tear which occours with dislocation of the head is also associated commonly with a bony fracture of rim of the cup/socket . This usually occours with traumatic episodes. In such cases where the breadth of the cup/socket surface is compromised, it is advised to place a bony plug to increase the width of the cup/socket.

Reinstitutuion of the soft tissue envelop in these cases may lead to excessive tightness and recurrence of symptoms in most cases. It is advisable to get a pre-operative CT scan to evaulate the bony loss and the need of soft tissue or a bony procedure.

The patient is councelled for pros and cons of both procedures. It is advisable to undergo a complete work up before undergoing a surgical procedure. The procedure is done using a minimally invasive approach but involves opening up of the shoulder joint to place the bony plug in the right place. The functional recovery starts at 6 weeks after surgery when the patiet is given range of motion exercises. It takes upto 3-6 months for complete functional recovery.