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

Introduction

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

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

• 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

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

• 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

• 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

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

References

<references/>

• National Center for Biotechnology Information - The Bankart Lesion: A Review of Anatomy and Repair Techniques
• American Academy of Orthopaedic Surgeons - Common Shoulder Injuries
• Journal of Orthopaedic & Sports Physical Therapy - Shoulder Dislocation and Instability

External Links

• ShoulderDoc - Bankart Repair
• Britannica - Orthopedic Surgery