Continue appropriate previous exercises aarom pulley, doorway stretches through full range. A total of 14 patients who underwent open or arthroscopic bankart repair with an initial presentation of traumatic shoulder instability between january 2010 and january 2017. Perthes lesion a perthes lesion is a labroligamentous avulsion like a bankart, but with a medially stripped intact periosteum. Bankart lesionlabral tear at anterior half of glenoid rim 26. This leads to laxity of posterior band of the inferior glenohumeral ligament with posterior displacement of the humeral. Study of bipolar bone defects in unstable shoulder. The methods to create pdf files explained here are free and easy to use. Jun 16, 2010 untreated chronic shoulder dislocation eventually leads to functional disability and pain.
Bankart and slap repair post operative pt protocol revised. Pdf arthroscopic bankart repair following traumatic recurrent. Evaluation of a treatment algorithm for acute traumatic. Complete this form if you are a member onz a visiting force including its civilian component or a crew member of any craft transporting such people. Arthroscopic bankart repair abr provides acceptable results for recurrent anterior shoulder instability. A pdf creator and a pdf converter makes the conversion possible. Studies dealing with acute osseous bankart lesions and corresponding treatment strategies are rare. The aim of this study was to present our surgical outcomes in patients who underwent arthroscopic removal of poorly positioned andor proud metallic suture anchors applied during or after bankart repair. Several factors, including a young age at the time of surgery, male sex, shoulder instability on both sides, joint hyperlaxity, participation in collision sports, early return to contact sports, the size of the. Jun 14, 2011 the arthroscopic method offers a less invasive technique of bankart repair for traumatic anterior shoulder instability. Download acrobat pdf file 7mb icmje author disclosure forms.
As a result of an accident in the gym, a dislocation of my left shoulder left me with pain, and also instability when my arm was raised above my head. Bankart and slap repair post operative pt protocol please contact the uwmc shoulder and elbow team with any questions. Data from 79 shoulders in 74 patients were collected over 4 years 2004 2008. Risk factors for shoulder redislocation after arthroscopic. When the anterior and inferior ligaments and labrum are damaged. The contribution of the hillsachs lesion to glenohumeral instability depends. It is generally located at the posteriorsuperior portion of the humeral head. During conversion, all files including text, image, table and etc are export to a newly produced word document.
We compared patients with recurrent posttraumatic anterior shoulder instability treated with arthroscopic. However, recent studies have shown recurrent rates of 4%19%. The physiologic groove in the humerus or cysts and erosions at the attachment site of the infraspinatus tendon can simulate a hillsachs, but usually this is not. Imaging of sports injuries eponyms and colloquialisms. Treatment of a posterior hillsachs lesion in the right shoulder with a doublepulley remplissage. If a lesion of 20% to 30% the width of the glenoid is present, arthroscopic repair of the bony bankart lesion is preferable to repair of the softtissue lesion alone. The open latarjet procedure is more reliable in terms of. Recent studies have shown effective clinical results after arthroscopic bankart repair abr but have shown several risk factors for redislocation after surgery. The average size of the lesion was approximately 31% of the glenoid circumference. We hypothesized that open reduction and simultaneous bankart lesion repair in chronic anterior shoulder dislocation obviates the need for joint fixation and leads to better results than previously.
This leads to laxity of posterior band of the inferior glenohumeral ligament with posterior displacement of the humeral head as is the case with a bankart lesion, the trauma may be severe enough to involve the bony glenoid, resulting in an accompanying small flake. When the damage only involves the labrum it is called a bankart lesion. Arthroscopic repair of a posterior bony bankart lesion. Alternatively, you can download the file locally and open with any standalone pdf reader. X ray is useful for initial search internal rotation. Bankart lesion was determined in 38 patients and bankart and slap lesions in 34. High resolution ultrasound vs mri for cuff and non cuff. Reverse bankart lesion radiology reference article. Us correlated with mri well also in quantification of hill sahcs lesion. A hill sachs lesion occurs when the lesion to the labrum presents simultaneously. Arthroscopic anterior shoulder stabilization with incorporation of a.
Bankart lesion a bankart lesion results from detachment of the anteroinferior labrum with or without labral tears from the underlying glenoid with a tear of the anterior scapular periosteum, and it may be associated with matching humeral lesion. Long term results of arthroscopic bankart repair for. Bankart repair and remplissage for a large engaging hillsachs lesion. Viewing from the posterior portal, the surgeon identifies a large hillsachs lesion. Mar 11, 2014 arthroscopic bankart repair and open latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. Reverse bankart lesion is defined as the detachment of posteroinferior labrum with avulsion of posterior capsular periosteum. Media in category bankart lesion the following 5 files are in this category, out of 5 total. A hill sachs lesion occurs when the lesion to the labrum presents simultaneously with a. Bony bankart lesions have been associated with up to 30% of anterior dislocations and consist of an avulsion. This procedure included the injection of a contrast dye directly into the shoulder joint, followed by an m. We compared patients with recurrent posttraumatic anterior shoulder instability treated with arthroscopic bankart. Shoulder instability includes different degrees of instability from painful hyperlaxi. Arthroscopic bankart repair and open latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic bankart repairs.
It is an indication for surgery and often accompanied by a hillsachs lesion, damage to the posterior humeral head the bankart lesion is named after english. Here we will look at the common causes, associated injuries, symptoms and treatment options, both surgical and non surgical, for a bankart lesion labrum tear. Avoid heavy pushing, pulling or lifting directions for physical therapist. Anteroinferior bankart lesion that extends upward to include a separation of the biceps tendon. A bankart lesion is an injury to the labrum caused by shoulder dislocation 4. Arthroscopic removal of metallic suture anchors placed. They were divided into 3 groups on the basis of preoperative glenoid structure by computed tomography ct. The traumatic detachment of the glenoid labrum has been called the bankart lesion. Journal of orthopaedic surgery and research risk factors for shoulder redislocation after arthroscopic bankart repair hideaki shibata masafumi gotoh 0 yasuhiro mitsui 0 yoshihiro kai hidehiro nakamura tomonoshin kanazawa takahiro okawa 0 fujio higuchi 0 masahiro shirahama naoto shiba 0 department of orthopaedic surgery, kurume university medical center, 1551 kokubumachi, kurume, fukuoka. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension. Assessment of bone defects in anterior shoulder instability. Posterior humeral avulsion of the glenohumeral ligament. Hillsachs fig 17, bony bankart fig 18,19 and its variants. Fine pdf to word converter is a solid converter to convert adobe acrobat pdf files to word doc or rtf file.
Pdf background literature on outcomes of arthroscopic bankart repair at the intervening time intervals in traumatic. Inz 1017 pdf amaryl lids to download pdf you need some. All structured data from the file and property namespaces is available under the creative commons cc0 license. Midterm results of the bony bankart bridge technique for the. Book a textbook of machine design pdf download first j k gupta pdf download author r s khurmi, j k gupta written the booka textbook of machine design by r. Schulterinstabilitaten deutsches gelenkzentrum heidelberg. On mr a hillsachs defect is seen at or above the level of the coracoid.
Treatment of chronic anterior shoulder dislocation by open. The contribution of the hillsachs lesion to glenohumeral instability depends on the size, orientation and location of the defect. The osseous bankart lesion is an avulsion of the humeral labral complex with an anterior rim fracture. Preoperative computed tomography ct detected a normal glenoid no glenoid bone defect in 61 shoulders group n, erosion of the glenoid rim glenoid bone defect without a bony bankart lesion in 46 shoulders group e, and a glenoid bone defect with a bony bankart lesion in 79 shoulders group b. Arthroscopic doublepulley remplissage using a 2portal. Untreated chronic shoulder dislocation eventually leads to functional disability and pain. The purpose was to investigate joint stability and range of motion after a bankart repair without superior labral anteriorposterior. The purpose of this study is to analyze the results after applying our treatment algorithm for acute glenoid rim fractures caused by first time traumatic anterior shoulder dislocations.
Doublecontrast ct arthroct and mr are the investigations of. Isolated glenoid defects are found in 22% of patients with firsttime anterior dis. It is an indication for surgery and often accompanied by a hillsachs lesion, damage to the posterior humeral head. Perthes lesion is variant of bankart lesion, presenting as an anterior glenohumeral injury that occurs when the scapular periosteum remains intact but is stripped. Bankart lesion labral tear at anterior half of glenoid rim 26. Intraoperative findings and outcome of latarjet procedure. When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. Any information contained in this pdf file is automatically generated from. Article information, pdf download for midterm results of the bony bankart bridge. We hypothesized that open reduction and simultaneous bankart lesion repair in chronic anterior shoulder dislocation obviates the need for joint fixation and leads to better results than. Bankart ppt free download as powerpoint presentation.
The choice between these procedures depends mainly on surgeon preference or training rather than published evidence. Us was also found useful in bony bankart and various other non cuff pathologies. Bankart lesions are named after english orthopedic surgeon arthur sydney blundell bankart, 18791951, who first described the injury and the surgical repair process. Progression of erosive changes of glenoid rim after. Any information contained in this pdf file is automatically generated from digital material. Anterior extension of the slap lesion beneath the middle glenohumeral. Open reduction with different fixation methods have been introduced for most chronic shoulder dislocation. The arthroscopic method offers a less invasive technique of bankart repair for traumatic anterior shoulder instability. We performed abr using bioabsorbable suture anchors in. Arthroscopic removal of metallic suture anchors placed after. Pdf fractures of the anteroinferior glenoid rim, termed bony bankart lesions, have been reported to occur in up to 22 % of first time anterior.
Moreover, the output files keep the same quality with the original files, you can edit the created word documents easily. It may result either from a traumatic glenohumeral dislocation or a direct trauma to the adducted arm. Midterm results of the bony bankart bridge technique for the treatment of bony bankart lesions. Patients who underwent abr for traumatic anterior shoulder instability were retrospectively investigated. Significance of the inverted pear glenoid and the humeral engaging hillsachs lesion. Arthroscopic repair of chronic bony bankart lesion using a. Files are available under licenses specified on their description page. They used a kyphoplasty balloon to reduce the hillsachs lesion and then injected bone cement into. Follow along for expert advice on working with pdf files, and get it best practices, office, and productivity tips, as well. A bankart lesion is an injury of the anterior glenoid labrum of the shoulder due to anterior shoulder dislocation. Links to movies, ppt slideshows and any other multimedia files are.
If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. Mri had high sensitivity in detection of overall anteroinferior glenoid problems. Hillsachs lesion impaction fracture on the posteriorsuperiorlateral aspect of the humeral head. We would like to report the 2 year clinical outcomes of bioabsorbable suture anchors used in traumatic anterior dislocations of the shoulder. The incidence of anterior glenoid rim fractures has been reported to be up to 22% after first time anterior shoulder dislocation and up to 73% after recurrent dislocations 27. Hillsachs lesion this is a defect in the posterolateral aspect of the humeral head. Horst and his colleagues also found that a larger hillsachs lesion leads to greater. Perthes and alpsa anterior labral periosteal sleeve avulsion lesions fig 20, detection of pathological calcification e. Unstable radial flap tears associated with separation of the biceps anchor. Axial image showing reverse bony bankart arrow and the defect filled with. We evaluated whether patients are at a risk for redislocation during the first year after abr, examined the recurrence rate after abr, and sought to identify new risk factors. The pdf24 creator installs for you a virtual pdf printer so that you can print your. In between 5% and 55% of cases it is accompanied by detachment of a bone fragment bony bankart lesion, 14. Once a bony bankart lesion is confirmed by radiography or magnetic resonance imaging with intraarticular gadolinium, computed tomography ct evaluation can be helpful to assess the size of the fragment and version of the glenoid.
1359 1297 1332 996 684 802 898 1190 886 283 1561 606 592 414 139 111 1170 35 601 599 1537 322 409 1234 1084 843 31 1378 1004 1068 1524 837 233 28 1121 802 1261 594 1476 1483 324 58 950 790 600 836 1119 430 283