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]
Contents
1Diagnosis
2Treatment
3Gallery
4See also
5References
6External links
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 re-operation 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
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
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
Terms for anatomical location
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.
^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.
^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. 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
v
t
e
Dislocations/subluxations, sprains and strains
Joints and ligaments
Head and neck
Dislocation of jaw
Whiplash
Shoulder and upper arm
GH (Dislocated shoulder)
AC (Separated shoulder)
ALPSA lesion
SLAP tear
Bankart lesion
Elbow and forearm
Pulled elbow
Gamekeeper's thumb
Hip and thigh
Hip dislocation
Knee and leg
Tear of meniscus
Anterior cruciate ligament injury
Unhappy triad
Patellar dislocation
Knee dislocation
Ankle and foot
Sprained ankle (High ankle sprain)
Metatarsophalangeal joint sprain (Turf toe)
Muscles and tendons
Shoulder and upper arm
Rotator cuff tear
Hip and thigh
Pulled hamstring
Knee and leg
Patellar tendon rupture
Achilles tendon rupture
Shin splints
UpToDate Contents
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…with the arm in internal rotation . Bankart lesions occur when the glenoid labrum is disrupted during dislocation and a bone fragment is avulsed Bony Bankart lesions are present in 5 percent of patients …
…tears are frequently accompanied by other shoulder pathology. Rotator cuff impingement or tears, Bankart lesions, biceps tendon injury, and glenohumeral osteoarthritis are common findings during arthroscopic…
…head (Hill-Sachs deformity) and glenoid labrum disruption with or without an avulsion fracture (Bankart lesion) Anterior shoulder dislocations typically require urgent reduction. The techniques for reduction …
…patients when plain radiographs are inconclusive. Shoulder dislocation with concern for a bony Bankart lesion (anterior glenoid fracture) – West Point axillary lateral Shoulder dislocation with concern…
…shoulder dislocation, plain film demonstrates humeral and glenoid fractures such as Hill-Sachs and Bankart lesions . Further evaluation of the associated soft tissue injuries, including glenoid labral…
English Journal
[Research progress of surgical treatment for anterior shoulder dislocation and combined injuries].
Liang D, Qiu Z, Liu H, Lu W.
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery. 2019 Jun;33(6)768-773.
To summarize the research progress of surgical treatment for anterior shoulder dislocation and combined injuries. The related literature was reviewed, and the surgical treatment options for the anterior shoulder dislocation and its combined injuries were summarized. Anterior shoulder dislocation can
[Arthroscopic treatment of irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions].
Zhao D, Hu W, Zhao B, Zhao X, Li Y, Zhang J, Chen H, Wu Z.
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery. 2019 Jun;33(6)676-680.
To investigate the effectiveness of arthroscopic treatment for irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions. Between February 2008 and August 2016, 11 patients with irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions, were
Anchor Hole Placement for Bankart Repairs and its Interaction with Variable Size Hill-Sachs Defects- Minimising Risk of Glenoid Rim Fractures.
Dabirrahmani D, Bokor D, Tarento T, Ahmad S, Appleyard R.
Journal of biomechanical engineering. 2019 Jun;().
As the use of glenoid suture anchors in arthroscopic and open reconstruction, for instability after Bankart lesions of the shoulder, increases, an emerging problem has been the incidence of glenoid rim fractures through suture drill holes. Very little is known regarding the effect of the Hill-Sachs
Bankart lesions are injuries specifically at the anteroinferior aspect of the glenoid labral complex, and represent a common complication of anterior shoulder dislocation. They are frequently seen in association with a Hill-Sachs lesion.
Definition/Description A Bankart lesion is a lesion of the anterior part of the glenoid labrum of the shoulder. This injury is caused by repeated anterior shoulder subluxations. The dislocation of the shoulder joint (anterior) can damage ...
A Bankart lesion is when there is damage to the lower portion of the glenoid labrum, causing it to tear away from the bony socket. This tends to happen when the shoulder dislocates anteriorly, meaning the head of the humerus is ...