Remplissage Versus Latarjet Coracoid Transfer for Recurrent Shoulder Instability

Inclusion Criteria: * anterior shoulder instability (\>1 dislocation) * age \>14 years * evidence of a Hill-Sachs defect on MRI or CT, * \< 20% anteroposterior glenoid bone loss Exclusion Criteria: * \>20% anteroposterior glenoid bone loss * significant shoulder comorbidities (i.e., osteoarthritis, previous surgery other than previous instability), active joint or systemic infection, significant muscle paralysis, rotator cuff or Charcot's arthropathy, * significant medical comorbidity that may alter effectiveness of surgical intervention * major medical illness, * unable to speak French or English, * psychiatric illness that precludes informed consent, * unwilling to be followed for 2 years