First-time traumatic shoulder dislocation in adolescents—especially male athletes and individuals engaged in contact or high-risk sports—carries a very high recurrence rate, often up to 100% with younger age and laxity. Contrast-enhanced imaging is essential for accurately assessing soft-tissue lesions, most commonly Bankart lesions. Because nonoperative treatment leads to frequent recurrence and higher long-term arthritic changes, early arthroscopic repair is recommended in young, active patients without significant bony defects. This minimally invasive approach, focuses on anatomical soft-tissue restoration—tailored to specific lesions, status and expectations encountered—significantly reduces recurrence while preserving shoulder function. Early postoperative mobilization helps prevent stiffness and supports favorable outcomes.