How successful are Bankart repairs?
Arthroscopic Bankart repair is an effective surgical option for traumatic shoulder instability in adolescents participating in collision and contact sports. At a minimum 4-year follow-up, arthroscopic Bankart repair effectively restored stability in 90% of cases; 80% returned to their preinjury level of sport.
How are Bankart lesions treated?
Bankart lesions may be treated through conservative methods such as rest, immobilization and physical therapy, particularly in older patients. However, many cases require surgery to reattach the torn labrum to the socket of the shoulder.
What is a Bankart lesion?
A Bankart lesion is the name for a tear that happens in the lower rim of the labrum. Once the labrum is torn, it’s much easier for the humerus to slip out of its socket. You may also have pain and feel as if your shoulder is slipping out of place.
Is Hill-Sachs lesion painful?
The most common sign of Hill-Sachs lesion is severe pain in the shoulder, especially during movement. Other symptoms you may notice include: Nausea, lightheadedness and weakness. Recurring shoulder dislocations.
Can you workout with a Bankart lesion?
After Bankart Repair for Shoulder Instability You should not return to training using heavy weights on weight machines until Dr. Berkson determines that it is safe. In general, it is usually safe to return to heavy weight training at three months following Bankart repair.
What is a Remplissage?
Remplissage is a French term that means “To Fill the Defect”. Thus in this procedure an additional pair of anchors are placed into the Hill-Sachs lesion and the infraspinatus rotator cuff tendon is repaired into the defect to fill the defect. This serves as a checkrein to prevent any further anterior instability.
What is a SLAP lesion?
A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). Tears of the superior labrum near to the origin of the long head of biceps were first described among throwing athletes by Andrews in 1985.
What is the difference between Hill Sachs and Bankart lesion?
Anterior dislocation causes a typical impression fracture on the posterior humeral head, known as a Hill–Sachs lesion. The labrum or the glenoid itself may also be damaged; these injuries are known as Bankart lesions.
What is an Alpsa lesion?
An ALPSA lesion refers to a detachment of the anteroinferior labrum from the glenoid. The scapular periosteum is unruptured but widely lifted or stripped. The labrum remains attached to the periosteum and can rotate medially to a position along the anterior surface of the scapular neck.
How is Hill-Sachs lesion treated?
For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been affected, physical therapy, or careful observation may be an effective option. For more severe cases and larger lesions, surgery is likely your best option for healing.
Does a Hill-Sachs lesion heal on its own?
Dr. Foreman: The Hill-Sachs lesion is a “divot” made in the bone and cartilage on the back of the ball (humerus) caused when it bangs against the edge of the socket (glenoid) when the shoulder dislocates. It will not heal, but usually doesn’t cause a problem unless it is very large.
What are the characteristics of a Bankart lesion?
Characteristics/Clinical. A soft tissue Bankart lesion is an anteroinferior labrum avulsion damage of the glenoid rim. The posterior capsule may be stretched and the inferior glenuhumeral ligament is torn.. A bony Bankart lesion shows besides the soft tissue damage also a fracture of the anteroinferior glenoid rim.
What is a bony Bankart lesion on the shoulder?
Bony Bankart lesions occur when some of the glenoid bone is broken off with the anterior labrum. This leads to loss of the normal bumper (labrum) and also loss of bone, making the shoulder joint potentially more unstable than a Bankart tear alone.
What are the options for interventions to the Bankart lesion?
There are several options for interventions to the Bankart lesion. First of all we can make the difference between the operative and non-operative interventions. Possible operative interventions include the arthroscopic Bankart repair and an open Bankart repair.
When are Bankart lesion tests indicated in the workup of shoulder pain?
Bankart lesion tests should be used if the patient describes a history of macrotrauma, recurrent subluxations, pain anteriorly or deep in the shoulder, clicking, clunking, or sensations of locking or pseudolocking.