Shoulder Instability Trial Comparing Arthroscopic Stabilization Benefits Compared With Latarjet Procedure Evaluation - STABLE Definitive Trial

Inclusion Criteria: 1. Adults ages 18-50 years; 2. Diagnosis of post-traumatic recurrent anterior dislocation. This will require a minimum of 2 episodes of documented dislocations 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. Subcritical glenoid bone loss as defined on CT by standardized and reproducible best-fit circle technique (\>10% but \<20%); 4. Provision of informed consent. Exclusion Criteria: 1. Patients with concomitant injuries of the index shoulder (cuff tear, greater tuberosity fracture); 2. Previous shoulder surgery; 3. Patients that will likely have problems, in the judgment of the investigators, with maintaining follow-up; 4. Epilepsy/seizure disorder; 5. Patients who are currently incarcerated; 6. Diagnosis of multidirectional instability; 7. Cases involving litigation or workplace insurance claims (e.g. WSIB); 8. Confirmed connective tissue disorder (Ehlers-Danlos, Marfans) or Beighton hypermobility score \> 6. 9. Pregnancy.