What is a Bankart lesion of the shoulder?
One of the most common labral injuries is known as a Bankart lesion. This condition occurs when the labrum pulls off the front of the socket. This occurs most often when the shoulder dislocates. If a Bankart tear doesn’t heal properly, it can cause future dislocations, instability, weakness and pain.
Do Bankart lesions need surgery?
The most frequent treatment for a Bankart lesion is orthopedic reduction of the dislocation and surgical repair, with suturing to stabilize the labrum when the extent of the tear is significant. However, the repair can result in limitation of normal functional activities of the shoulder .
What causes a Bankart lesion?
causes of Bankart lesions Bankart lesions are frequently the results of high energy trauma and sports injuries (either acute injuries or overuse injuries from repetitive arm motions). Though anyone can sustain this injury, young people in their twenties are most susceptible.
What is the most common location for a Bankart lesion?
Abstract. Osseous Bankart lesions are seen in approximately 50% of shoulders with traumatic anterior shoulder instability.
Is a Bankart repair a major surgery?
A Bankart lesion is a shoulder injury that occurs due to a labrum tear causing instability and recurrent dislocations of the shoulder joint. Arthroscopic Bankart repair is a minimally invasive surgical procedure performed to reattach and tighten the detached labrum within the shoulder joint.
How long do Bankart lesions take to heal without surgery?
Rehabilitation of Bankart Reconstruction The rehabilitation following a Bankart Reconstruction usually takes 4-6 months depending on the sport or activity level. A shoulder immobilizer with a small pillow next to the side is used to protect the repair for the first six weeks.
Is a Bankart lesion painful?
A bony Bankart lesion shows besides the soft tissue damage also a fracture of the anteroinferior glenoid rim. Patients with a Bankart lesion are recognized by shoulder pain which is not localized in a specific point and the pain gets worse when the arm is held behind the back.
Can a Bankart lesion be seen on xray?
The soft tissue Bankart lesion can be seen at arthroscopy and MR arthrography as a fragment of labrum attached to the anterior band of the inferior glenuhumeral ligament and to a rupture in the periosteum of the scapula. A bony Bankart lesion can also be discovered by radiographs.
How successful is Bankart surgery?
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 long does it take to recover from Bankart surgery?
There is a large amount of variability in the time it takes to fully recover from this procedure. It is usually estimated that it will take at least 4-6 months to feel as though you have completely regained the use of your arm. Some cases may take as long as 9-12 months to make a full recovery.
What should you avoid with a Bankart lesion?
For posterior repairs, avoid any internal rotation (turning in) past the body….Exercise:
- Elbow flexion / extension.
- wrist and forearm strengthening.
- cervical stretches.
- postural education and exercises.
Can a Bankart tear heal on its own?
If the injury is a minor Bankart tear with a dislocation, the physician (or even a team coach or patient themselves) can usually pop the shoulder back into place – a process called reduction – and then follow up with physical therapy to strengthen the muscles.
Is shoulder labrum surgery a major surgery?
Labrum repair is major surgery with serious risks and potential complications. You may have less invasive treatment options.
Is labral tear surgery worth it?
Doctors recommend labral tear surgery to patients who they think are good candidates—these patient are not at high risk for surgical complications and are likely to have good postsurgical results. For other patients, a hip replacement or other hip surgery may be considered.
How painful is labrum surgery?
You will be in pain, and although you can mask that pain with pain medications, you may discover that doing so prevents you from taking care of your responsibilities. Your doctor will give you a sling, which he or she will advise you to wear for anywhere between two and four weeks.
What is the clunk test?
The Clunk Test is used to identify a superior anterior and posterior glenoid labral tear of the shoulder joint.
How do you test a Bankart lesion?
For the identification of a Bankart lesion you can use Magnetic Resonance Imaging (MRI). It can be used to quantify the associated medial displacements of the inferior glenohumeral ligament underneath the glenoid.
Is labrum surgery a major surgery?
What is a Bankart lesion on the shoulder?
A Bankart lesion is just one possible cause of shoulder pain and instability. The upper part of the glenoid labrum may be damaged, known as a SLAP tear causing pain and instability with overhead movements. You can find out more about other causes in the Common Shoulder Problems section – coming soon.
When is non-surgical treatment indicated for a Bankart lesion?
Non-Surgical Treatment For older patients, or those who are less active, non-surgical treatment is recommended for a Bankart lesion.
What is the prevalence of shoulder dislocation with a Bankart lesion?
Recurrent Dislocations: Repeated episodes of shoulder dislocation are common with a Bankart lesion, particularly in younger patients, affecting up to 80% of people under the age of 30. This frequency reduces with age to around 30%
What is the best treatment for a Bankart lesion on the shoulder?
Arthroscopic repair with suture anchors is an effective surgical technique for the treatment of an isolated Bankart lesion. Open repair does not always show us a significantly improvement of functionality of the shoulder.