Bankart lesion: Difference between revisions
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==Treatment== |
==Treatment== |
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Arthroscopic repair of Bankart injuries have good success rates, though nearly one-third of patients require further surgery for continued instability after the initial procedure.<ref>{{cite journal|last1=Flinkkilä|first1=T|last2=Knape|first2=R|last3=Sirniö|first3=K|last4=Ohtonen|first4=P|last5=Leppilahti|first5=J|title=Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up.|journal=Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA|date=16 March 2017|pmid=28303281|doi=10.1007/s00167-017-4504-z|volume=26|issue=1|pages=94–99}}</ref> Options for repair include an [[arthroscopy|arthroscopic]] technique or a more invasive open [[Latarjet procedure]],<ref>{{cite journal|last1=Zimmermann|first1=SM|last2=Scheyerer|first2=MJ|last3=Farshad|first3=M|last4=Catanzaro|first4=S|last5=Rahm|first5=S|last6=Gerber|first6=C|title=Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure.|journal=The Journal of Bone and Joint Surgery. American Volume|date=7 December 2016|volume=98|issue=23|pages=1954–1961|pmid=27926676|doi=10.2106/jbjs.15.01398}}</ref> with the open technique tending to have a lower incidence of recurrent dislocation, but also a reduced range of motion following surgery.<ref>{{cite journal|last1=Wang|first1=L|last2=Liu|first2=Y|last3=Su|first3=X|last4=Liu|first4=S|title=A Meta-Analysis of Arthroscopic versus Open Repair for Treatment of Bankart Lesions in the Shoulder.|journal=Medical Science Monitor : International Medical Journal of Experimental and Clinical Research|date=8 October 2015|volume=21|pages=3028–35|pmid=26446430|doi=10.12659/msm.894346|pmc=4603609}}</ref> |
Arthroscopic repair of Bankart injuries have good success rates, though nearly one-third of patients require further surgery for continued instability after the initial procedure in a study of young adults, with higher failure rates in those less than 20 years of age.<ref>{{cite journal|last1=Flinkkilä|first1=T|last2=Knape|first2=R|last3=Sirniö|first3=K|last4=Ohtonen|first4=P|last5=Leppilahti|first5=J|title=Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up.|journal=Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA|date=16 March 2017|pmid=28303281|doi=10.1007/s00167-017-4504-z|volume=26|issue=1|pages=94–99}}</ref> Options for repair include an [[arthroscopy|arthroscopic]] technique or a more invasive open [[Latarjet procedure]],<ref>{{cite journal|last1=Zimmermann|first1=SM|last2=Scheyerer|first2=MJ|last3=Farshad|first3=M|last4=Catanzaro|first4=S|last5=Rahm|first5=S|last6=Gerber|first6=C|title=Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure.|journal=The Journal of Bone and Joint Surgery. American Volume|date=7 December 2016|volume=98|issue=23|pages=1954–1961|pmid=27926676|doi=10.2106/jbjs.15.01398}}</ref> with the open technique tending to have a lower incidence of recurrent dislocation, but also a reduced range of motion following surgery.<ref>{{cite journal|last1=Wang|first1=L|last2=Liu|first2=Y|last3=Su|first3=X|last4=Liu|first4=S|title=A Meta-Analysis of Arthroscopic versus Open Repair for Treatment of Bankart Lesions in the Shoulder.|journal=Medical Science Monitor : International Medical Journal of Experimental and Clinical Research|date=8 October 2015|volume=21|pages=3028–35|pmid=26446430|doi=10.12659/msm.894346|pmc=4603609}}</ref> |
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==Gallery== |
==Gallery== |
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Revision as of 06:40, 1 April 2019
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| The glenoid labrum, labeled glenoid ligament, is damaged in a Bankart lesion. Lateral view demonstrating the articular surface of the right scapula is shown. |
A Bankart lesion is an injury of the anterior (inferior) glenoid labrum of the shoulder due to anterior shoulder dislocation.[1] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. It is an indication for surgery and often accompanied by a Hill-Sachs lesion, damage to the posterior humeral head.[2]
The Bankart lesion is named after English orthopedic surgeon Arthur Sydney Blundell Bankart (1879 – 1951).[3]
A bony Bankart is a Bankart lesion that includes a fracture in of the anterior-inferior glenoid cavity of the scapula bone.[4]
Diagnosis
The diagnosis is usually initially made by a combination of physical exam and medical imaging, where the latter may be projectional radiography (in cases of bony Bankart) and/or MRI of the shoulder. The presence of intra-articular contrast allows for better evaluation of the glenoid labrum.[5] Type V SLAP tears extends into the Bankart defect.[6]
Treatment
Arthroscopic repair of Bankart injuries have good success rates, though nearly one-third of patients require further surgery for continued instability after the initial procedure in a study of young adults, with higher failure rates in those less than 20 years of age.[7] Options for repair include an arthroscopic technique or a more invasive open Latarjet procedure,[8] with the open technique tending to have a lower incidence of recurrent dislocation, but also a reduced range of motion following surgery.[9]
Gallery
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X-ray at left shows anterior dislocation in a young man after trying to get up from his bed. X-ray at right shows same shoulder after reduction and internal rotation, revealing both a bony Bankart lesion and a Hill-Sachs lesion. -
CT scan showing a bony Bankart lesion at the antero-inferior glenoid -
MRI of the shoulder after an anterior dislocation showing a Hill-Sachs lesion and labral Bankart lesion
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Bankart lesion seen at arthroscopy -
Radiograph showing a bony Bankart lesion with stationary fragment at the inferior glenoid -
3-D CT reconstruction of a bankart lesion which occurred post anterior shoulder dislocation. This subject's humerus remains mildly superiorly subluxated. Fracture marked by a black arrow.
See also
References
- ^ Widjaja A, Tran A, Bailey M, Proper S (2006). "Correlation between Bankart and Hill-Sachs lesions in anterior shoulder dislocation". ANZ J Surg. 76 (6): 436–8. doi:10.1111/j.1445-2197.2006.03760.x. PMID 16768763.
- ^ Porcellini, Giuseppe; Campi, Fabrizio; Paladini, Paolo (2002). "Arthroscopic approach to acute bony Bankart lesion". Arthroscopy: The Journal of Arthroscopic and Related Surgery. 18 (7): 764–769. doi:10.1053/jars.2002.35266. ISSN 0749-8063.
- ^ Who Named It.com - Bankart's Lesion
- ^ "bony Bankart at The Steadman Clinic Vail, CO. © 2001 by LeadingMD". Archived from the original on 2011-07-26. Retrieved 2011-05-16.
{{cite web}}: Unknown parameter|dead-url=ignored (|url-status=suggested) (help) - ^ Jana, M; Srivastava, DN; Sharma, R; Gamanagatti, S; Nag, H; Mittal, R; Upadhyay, AD (April 2011). "Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability". The Indian Journal of Radiology & Imaging. 21 (2): 98–106. doi:10.4103/0971-3026.82284. PMC 3137866. PMID 21799591.
{{cite journal}}: CS1 maint: unflagged free DOI (link) - ^ Chang, D; Mohana-Borges, A; Borso, M; Chung, CB (October 2008). "SLAP lesions: anatomy, clinical presentation, MR imaging diagnosis and characterization". European journal of radiology. 68 (1): 72–87. doi:10.1016/j.ejrad.2008.02.026. PMID 18499376.
- ^ Flinkkilä, T; Knape, R; Sirniö, K; Ohtonen, P; Leppilahti, J (16 March 2017). "Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up". Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA. 26 (1): 94–99. doi:10.1007/s00167-017-4504-z. PMID 28303281.
- ^ Zimmermann, SM; Scheyerer, MJ; Farshad, M; Catanzaro, S; Rahm, S; Gerber, C (7 December 2016). "Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure". The Journal of Bone and Joint Surgery. American Volume. 98 (23): 1954–1961. doi:10.2106/jbjs.15.01398. PMID 27926676.
- ^ Wang, L; Liu, Y; Su, X; Liu, S (8 October 2015). "A Meta-Analysis of Arthroscopic versus Open Repair for Treatment of Bankart Lesions in the Shoulder". Medical Science Monitor : International Medical Journal of Experimental and Clinical Research. 21: 3028–35. doi:10.12659/msm.894346. PMC 4603609. PMID 26446430.
External links
Wikimedia Commons has media related to Bankart lesion.
- Bankart lesion - orthop.washington.edu
- Bankart lesion - zadeh.co.uk
