- Discussion:
- is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex;
- lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability;
- when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation of the IGHL;
- in up to 30% of patients the IGHL will heal in a redundant position;
- diff dx:
- glenoid labrum has many variations;
- fraying is the most common and often does not indicate pathology;
- anterior glenoid defect:
- in the experimental study by Itoi I, et al. (2000), the authors studied the role of an anterior gleoid defect (after Bankhart repair) on anterior instability;
- they found that an osseous defect with a width that is at least 21% (about 7 mm) of the glenoid length may cause instability and limit the range of motion of the shoulder after Bankart repair;
- antero-superior labral anomalies:
- congential anomalies of labrum are often seen in its anterior and superior portion;
- isolated lesions of the anterosuperior portion of the labrum which do not involve the biceps brachii, will not cause significant changes in anteroposterior or superoinferior glenohumeral translation;
- surgical debridment is not indicated;
- labral lesions which extend from the anterosuperior portion of the labrum to the biceps insertion will result in significant changes in glenohumeral translation;
- Hagl Lesion:
- avulsion of inferior ligament from the humerus;
- ref: Radiologic Case Study
- Exam: Rotatory Stress Test
- ref: The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study.
- Radiographs:
- West Point Axillary View: may identify bony Bankhart;
- Stryker Notch
- Anterior Shoulder Reconstruction:
- axillary surgical approach
- bankart lesion fixation technique
Congenital anteroinferior instability treated by Bankart repair.
Analysis of Bankart lesion in the recurrent dislocation or subluxation of the shoulder.
Recurrent anterior dislocation of the shoulder. Long-term follow-up of the Putti-Platt and Bankart procedures.
Recurrent anterior dislocation of the shoulder. Results after the Bankart and Putti-Platt operations.
The Bankart procedure: a long-term end-result study.
Biomechanical evaluation of a simulated Bankart lesion.
Modification of the Bankart reconstruction with a suture anchor. Report of a new technique.
Bankart Repair for Anterior Instability of the Shoulder. Long Term Outcome.
Biomechanical evaluation of a simulated Bankart lesion.
- is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex;
- lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability;
- when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation of the IGHL;
- in up to 30% of patients the IGHL will heal in a redundant position;
- diff dx:
- glenoid labrum has many variations;
- fraying is the most common and often does not indicate pathology;
- anterior glenoid defect:
- in the experimental study by Itoi I, et al. (2000), the authors studied the role of an anterior gleoid defect (after Bankhart repair) on anterior instability;
- they found that an osseous defect with a width that is at least 21% (about 7 mm) of the glenoid length may cause instability and limit the range of motion of the shoulder after Bankart repair;
- antero-superior labral anomalies:
- congential anomalies of labrum are often seen in its anterior and superior portion;
- isolated lesions of the anterosuperior portion of the labrum which do not involve the biceps brachii, will not cause significant changes in anteroposterior or superoinferior glenohumeral translation;
- surgical debridment is not indicated;
- labral lesions which extend from the anterosuperior portion of the labrum to the biceps insertion will result in significant changes in glenohumeral translation;
- Hagl Lesion:
- avulsion of inferior ligament from the humerus;
- ref: Radiologic Case Study
- Exam: Rotatory Stress Test
- ref: The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study.
- Radiographs:
- West Point Axillary View: may identify bony Bankhart;
- Stryker Notch
- MRI of the Shoulder:
- references:
- MR imaging of the labral-capsular complex: Normal variations.
- CT and MR evaluation of the labral capsular ligamentous complex of the shoulder.
- Anterior Shoulder Reconstruction:
- axillary surgical approach
- bankart lesion fixation technique
- Arthroscopic Shoulder Reconstruction
Congenital anteroinferior instability treated by Bankart repair.
Analysis of Bankart lesion in the recurrent dislocation or subluxation of the shoulder.
Recurrent anterior dislocation of the shoulder. Long-term follow-up of the Putti-Platt and Bankart procedures.
Recurrent anterior dislocation of the shoulder. Results after the Bankart and Putti-Platt operations.
The Bankart procedure: a long-term end-result study.
Biomechanical evaluation of a simulated Bankart lesion.
Modification of the Bankart reconstruction with a suture anchor. Report of a new technique.
Bankart Repair for Anterior Instability of the Shoulder. Long Term Outcome.
Biomechanical evaluation of a simulated Bankart lesion.