Review Question - QID 217827

A 19-year-old male who plays wide receiver for his high school football team presents to your office with complaints of recurrent anterior shoulder dislocations. He has had 3 episodes of instability over the prior 2 football seasons. He has been doing therapy exercises with the athletic trainers at his school. On examination, he is quite apprehensive in a position of abduction and external rotation and has a grade II load and shift test. His Beighton score is 2. Radiographs demonstrate evidence of anterior glenoid bone loss and a concomitant Hill Sachs lesion. CT scan is obtained and characterizes his anterior glenoid bone loss at 30%. Given these findings, what is the best next step for this patient?