Bankart lesion

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Bankart lesion
File:Gray328.png
Illustration of the shoulder joint
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Shoulder instability, shoulder pain
Complications Recurrent shoulder dislocation
Onset Often after shoulder dislocation
Duration Can be chronic if untreated
Types N/A
Causes Trauma to the shoulder, often from dislocation
Risks Contact sports, previous shoulder dislocations
Diagnosis Physical examination, MRI, CT scan
Differential diagnosis Hill-Sachs lesion, Rotator cuff tear
Prevention Avoiding high-risk activities, strengthening shoulder muscles
Treatment Physical therapy, arthroscopic surgery
Medication N/A
Prognosis Good with treatment, risk of recurrence if untreated
Frequency Common in young athletes
Deaths N/A


Bankart Lesion: Shoulder Injury and Treatment[edit]

Introduction[edit]

A Bankart lesion is a specific injury to the shoulder joint, involving the anterior (inferior) glenoid labrum. It is commonly associated with anterior shoulder dislocations.

File:3-D CT reconstruction of Bankart lesion which occurred post anterior shoulder dislocation.jpg
Diagram showing a Bankart lesion in the shoulder joint

Pathophysiology[edit]

The Bankart lesion occurs when:

  • The anterior part of the glenoid labrum is injured.
  • A pocket forms at the front of the glenoid, allowing the humeral head to dislocate into it.

This condition often leads to recurrent shoulder dislocations.

Association with Hill-Sachs Lesion[edit]

  • It is frequently accompanied by a Hill-Sachs lesion, which is damage to the posterior humeral head.
  • This combination of injuries is indicative of severe shoulder instability.

Treatment and Surgery[edit]

Indications for surgery include:

  • Recurrent shoulder dislocations
  • Persistent pain or instability after shoulder dislocation

Surgical options may involve:

  • Arthroscopic repair
  • Reconstruction of the labrum
  • Addressing any associated fractures
File:Shoulder dislocation with Bankart and Hill-Sachs lesion, before and after reduction.jpg
Shoulder dislocation with Bankart and Hill-Sachs lesion, before and after reduction

Bony Bankart Lesion[edit]

  • A bony Bankart lesion includes a fracture of the anterior-inferior glenoid cavity of the scapula bone.
  • Treatment of a bony Bankart lesion often requires more complex surgical procedures.

Historical Context[edit]

  • The Bankart lesion is named after English orthopedic surgeon Arthur Sydney Blundell Bankart (1879–1951), who first described it.
File:Post Dislocated shoulder MRI 01.png
Arthur Sydney Blundell Bankart, who first described the Bankart lesion

Epidemiology and Risk Factors[edit]

  • Common in younger individuals and athletes involved in contact sports.
  • Risk factors include previous shoulder dislocations and ligamentous laxity.

References[edit]

External Links[edit]