Review Question - QID 217090

A 29-year-old male presents to your clinic with complaints of recurrent shoulder instability in his dominant arm. He initially dislocated his shoulder at age 22 and underwent arthroscopic bankart repair which failed several years later. He subsequently underwent an open bankart repair that was also unsuccessful. He now has frequent feelings of instability and weakness when performing the physical exam maneuver shown in Figure A. Images from his MRI are shown in Figures B and C. What is the most appropriate next step in his management?