Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic bankart repairs. Anterior extension of the slap lesion beneath the middle glenohumeral. The arthroscopic method offers a less invasive technique of bankart repair for traumatic anterior shoulder instability. 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. Shoulder instability includes different degrees of instability from painful hyperlaxi. This leads to laxity of posterior band of the inferior glenohumeral ligament with posterior displacement of the humeral. Midterm results of the bony bankart bridge technique for the treatment of bony bankart lesions. Bankart lesions are named after english orthopedic surgeon arthur sydney blundell bankart, 18791951, who first described the injury and the surgical repair process.
The choice between these procedures depends mainly on surgeon preference or training rather than published evidence. Horst and his colleagues also found that a larger hillsachs lesion leads to greater. 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. Arthroscopic doublepulley remplissage using a 2portal. We performed abr using bioabsorbable suture anchors in. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension. 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. Follow along for expert advice on working with pdf files, and get it best practices, office, and productivity tips, as well. Mri had high sensitivity in detection of overall anteroinferior glenoid problems. Perthes lesion is variant of bankart lesion, presenting as an anterior glenohumeral injury that occurs when the scapular periosteum remains intact but is stripped.
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. Progression of erosive changes of glenoid rim after. Inz 1017 pdf amaryl lids to download pdf you need some. Any information contained in this pdf file is automatically generated from digital material.
Arthroscopic removal of metallic suture anchors placed after. Unstable radial flap tears associated with separation of the biceps anchor. Long term results of arthroscopic bankart repair for. Significance of the inverted pear glenoid and the humeral engaging hillsachs lesion. Avoid heavy pushing, pulling or lifting directions for physical therapist. Arthroscopic bankart repair abr provides acceptable results for recurrent anterior shoulder instability. Schulterinstabilitaten deutsches gelenkzentrum heidelberg. It may result either from a traumatic glenohumeral dislocation or a direct trauma to the adducted arm. Anteroinferior bankart lesion that extends upward to include a separation of the biceps tendon. Untreated chronic shoulder dislocation eventually leads to functional disability and pain.
Doublecontrast ct arthroct and mr are the investigations of. Intraoperative findings and outcome of latarjet procedure. However, recent studies have shown recurrent rates of 4%19%. 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. Bankart repair and remplissage for a large engaging hillsachs lesion. Jun 14, 2011 the arthroscopic method offers a less invasive technique of bankart repair for traumatic anterior shoulder instability. Links to movies, ppt slideshows and any other multimedia files are. Risk factors for shoulder redislocation after arthroscopic. Arthroscopic bankart repair and open latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. Midterm results of the bony bankart bridge technique for the. Pdf arthroscopic bankart repair following traumatic recurrent. Bony bankart lesions have been associated with up to 30% of anterior dislocations and consist of an avulsion. Evaluation of a treatment algorithm for acute traumatic. A hill sachs lesion occurs when the lesion to the labrum presents simultaneously with a.
Fine pdf to word converter is a solid converter to convert adobe acrobat pdf files to word doc or rtf file. Patients who underwent abr for traumatic anterior shoulder instability were retrospectively investigated. 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. A bankart lesion is an injury to the labrum caused by shoulder dislocation 4. On mr a hillsachs defect is seen at or above the level of the coracoid. Continue appropriate previous exercises aarom pulley, doorway stretches through full range. Arthroscopic removal of metallic suture anchors placed. It is an indication for surgery and often accompanied by a hillsachs lesion, damage to the posterior humeral head. Reverse bankart lesion is defined as the detachment of posteroinferior labrum with avulsion of posterior capsular periosteum. Hillsachs fig 17, bony bankart fig 18,19 and its variants. 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. It is generally located at the posteriorsuperior portion of the humeral head.
Treatment of chronic anterior shoulder dislocation by open. Arthroscopic repair of chronic bony bankart lesion using a. Bankart and slap repair post operative pt protocol please contact the uwmc shoulder and elbow team with any questions. Bankart lesion labral tear at anterior half of glenoid rim 26. Bankart ppt free download as powerpoint presentation.
Moreover, the output files keep the same quality with the original files, you can edit the created word documents easily. Hillsachs lesion impaction fracture on the posteriorsuperiorlateral aspect of the humeral head. Jun 16, 2010 untreated chronic shoulder dislocation eventually leads to functional disability and pain. Mar 11, 2014 arthroscopic bankart repair and open latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. Arthroscopic repair of a posterior bony bankart lesion. 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. Viewing from the posterior portal, the surgeon identifies a large hillsachs lesion.
Pdf background literature on outcomes of arthroscopic bankart repair at the intervening time intervals in traumatic. 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. During conversion, all files including text, image, table and etc are export to a newly produced word document. Perthes and alpsa anterior labral periosteal sleeve avulsion lesions fig 20, detection of pathological calcification e. The purpose was to investigate joint stability and range of motion after a bankart repair without superior labral anteriorposterior. When the anterior and inferior ligaments and labrum are damaged. Alternatively, you can download the file locally and open with any standalone pdf reader. A pdf creator and a pdf converter makes the conversion possible. 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.
A bankart lesion is an injury of the anterior glenoid labrum of the shoulder due to anterior shoulder dislocation. Files are available under licenses specified on their description page. 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. They used a kyphoplasty balloon to reduce the hillsachs lesion and then injected bone cement into. They were divided into 3 groups on the basis of preoperative glenoid structure by computed tomography ct. Bankart and slap repair post operative pt protocol revised. Bankart lesion was determined in 38 patients and bankart and slap lesions in 34. Study of bipolar bone defects in unstable shoulder. Open reduction with different fixation methods have been introduced for most chronic shoulder dislocation. Imaging of sports injuries eponyms and colloquialisms. When the damage only involves the labrum it is called a bankart lesion. We compared patients with recurrent posttraumatic anterior shoulder instability treated with arthroscopic bankart. Perthes lesion a perthes lesion is a labroligamentous avulsion like a bankart, but with a medially stripped intact periosteum. Studies dealing with acute osseous bankart lesions and corresponding treatment strategies are rare.
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. We would like to report the 2 year clinical outcomes of bioabsorbable suture anchors used in traumatic anterior dislocations of the shoulder. 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. X ray is useful for initial search internal rotation. 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. 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. The contribution of the hillsachs lesion to glenohumeral instability depends. Pdf fractures of the anteroinferior glenoid rim, termed bony bankart lesions, have been reported to occur in up to 22 % of first time anterior. Bankart lesionlabral tear at anterior half of glenoid rim 26. Hillsachs lesion this is a defect in the posterolateral aspect of the humeral head. Recent studies have shown effective clinical results after arthroscopic bankart repair abr but have shown several risk factors for redislocation after surgery.
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. 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. Download acrobat pdf file 7mb icmje author disclosure forms. Axial image showing reverse bony bankart arrow and the defect filled with. Data from 79 shoulders in 74 patients were collected over 4 years 2004 2008. A hill sachs lesion occurs when the lesion to the labrum presents simultaneously. The osseous bankart lesion is an avulsion of the humeral labral complex with an anterior rim fracture. When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
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. 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. Reverse bankart lesion radiology reference article. Any information contained in this pdf file is automatically generated from. Media in category bankart lesion the following 5 files are in this category, out of 5 total. We compared patients with recurrent posttraumatic anterior shoulder instability treated with arthroscopic. Posterior humeral avulsion of the glenohumeral ligament. Article information, pdf download for midterm results of the bony bankart bridge. All structured data from the file and property namespaces is available under the creative commons cc0 license. The pdf24 creator installs for you a virtual pdf printer so that you can print your. Us correlated with mri well also in quantification of hill sahcs lesion.
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. Us was also found useful in bony bankart and various other non cuff pathologies. The methods to create pdf files explained here are free and easy to use. The average size of the lesion was approximately 31% of the glenoid circumference. 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.
This procedure included the injection of a contrast dye directly into the shoulder joint, followed by an m. In between 5% and 55% of cases it is accompanied by detachment of a bone fragment bony bankart lesion, 14. Arthroscopic anterior shoulder stabilization with incorporation of a. Treatment of a posterior hillsachs lesion in the right shoulder with a doublepulley remplissage.
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