What is a Bankart tear?

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.

What is the Bankart procedure?

A Bankart repair involves re-anchoring and suturing the torn piece of cartilage to restore security and stability to the shoulder. This procedure is typically performed arthroscopically at an outpatient surgery center, meaning patients go home several hours after the surgery has been completed.

Can an xray show a Bankart lesion?

Traditional Radiographic Imaging Radiographs provide an overview of the bony anatomy, orientation, and initial assessment for Bankart and Hill-Sachs lesions. Given the orientation of the glenohumeral joint, radiographs can be obtained relative to the body or aligned to the scapula.

Do Bankart tears need surgery?

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 causes a Bankart tear?

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.

Where does a Bankart tear occur?

In a Bankart tear, a dislocation of the shoulder joint leads the head of the humerus to tear the labrum as it pops out of the socket, usually toward the front, but sometimes toward the back of the shoulder.

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 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.

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 a labral tear repair itself?

Once torn, the labral tissue in the hip cannot heal on its own. There are surgical procedures to remove or repair torn labral tissue; however, treatment for a labral tear often begins with a course of physical therapy.

What kind of injury does Bankart have on his shoulder?

In his original paper, Bankart described avulsive injury of the fibrocartilaginous soft tissues along the anteroinferior glenohumeral joint occurring in association with anterior shoulder dislocation.

Can a Bankart lesion be repaired without surgery?

Bankart lesions do heal, and therefore early surgical intervention (if any) is not required. In Bankart repairs, the labral fragment is sutured back to the glenoid rim using suture anchors. A number of lesions are closely related have similar appearances, see anterior glenohumeral injury for discussion of the differences.

Which is the superior extension of the Bankart tear?

The tear extends to superior (black arrows). There is also a Hill-Sachs defect (red arrow). Sagittal MR-arthrogram demonstrates the superior extension of the Bankart tear. Here another patient with an osseus Bankart seen on four consecutive images of a MR arthrogram in ABER-view.

Can a MR-arthrography fail to detect a labral tear?

This means that MR-arthrography with the arm in the neutral position may fail to detect the labral tear. In the ABER position however there is tension on the antero-inferior labrum by the stretched anterior band of the inferior glenohumeral ligament and you have more chance to detect the tear.