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Dislocation Lesions

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Shoulder Dislocations
Dislocation Lesions
Shoulder Dislocation LesionsShoulder Dislocation Lesions
ALPSA LesionALPSA Lesion
Bankart TearBankart Tear
Bony Bankart LesionBony Bankart Lesion
GLAD LesionGLAD Lesion
HAGL InjuryHAGL Injury
Hill-Sachs LesionHill-Sachs Lesion
Perthe's LesionPerthe's Lesion



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Bony Bankart Lesion

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.

We have found this lesion to be present in 26% of shoulder dislocations in rugby players, due to the severity of the trauma involved in contact sports - click here.
The lesion can sometimes be seen on normal x-rays, but a CT-Arthrogram or MR-Arthrogram are preferred.
If the bony Bankart is displaced or fails to heal recurrent dislocations are likely.
Early repair of a bony Bankart (within 3 months) is more likely to heal and be stable than late repairs. These repairs can be done arthroscopically.

Bony Bankart on MR Arthrogram (left) and CT scan (right):
Bony Bankart on MR Arthrogram (left) and CT scan (right)

Bony Bankart on MR Arthrogram (left) and arthroscopy (right):

Bony Bankart on MR Arthrogram (left) and arthroscopy (right)


References:


A firm, white structure that forms a ring around the glenoid cavity (the cup of the ball and socket shoulder joint). It deepens the socket, providing stability to the joint.
joint comes out of it's socket completely
A Bankart lesion is an injury to the anterior glenoid labrum associated with anterior shoulder dislocations. It usually requires surgical repair. It is named after Arthur Sydney Blundell Bankart, an English orthopaedic surgeon, who lived from 1879-1951.
'key-hole' surgery. Surgery performed via small incisions, using special instruments and a viewing scope..
at the front; in front


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