Arthroscopic surgeries are recommended on severe cases such as Full thickness tear, Muscle fiber tear, non comminuted fracture or non-displaced fractures causing a lot of constant pain. Shoulder with multiple chronic dislocations and instability needs surgical intervention followed by physiotherapy treatments to retraining and re education of the rotator cuff muscle. Shoulder replacement or arthroplasty are usually done for irreparable tears of the rotator cuff, rotator cuff arthropathy, and avascular necrosis of the humeral head.