Description
It is found in patients with recurrent anterior (to the front) dislocation of the shoulder.
Anatomy
The shoulder joint is a ball and socket joint in which the ball at the upper end of the humerus (arm bone )joins with the socket (glenoid) at the Scapula (shoulder blade). The socket is in itself shallow. It is deepened by the Glenoid labrum which is a cartilaginous structure attached circumferentially to the rim of the glenoid cavity. The capsule of the shoulder joint is attached to the edge of the glenoid labrum. In a Bankart’s lesion the glenoid labrum is detached from its bony attachment with the glenoid at the front of the joint. asd
Symptoms and Signs
The humerus can dislocate to the front leading to recurrent episodes of anterior dislocation of the shoulder joint or instability. In instability there may not be a clear cut history of dislocation as the original injury may have been only a subluxation ( partial dislocation). Pain on overhead activities be the only symptom.
Treatment
It consists of re-attaching the glenoid labrum to its original site at the margin of the glenoid either arthroscopically or by an open method. (Bankart’s repair) The arthroscopic method saves on time by placing sutures anchors through the capsule or labrum into the bone.
Another option is thermal shrinkage to tighten the anterior capsule.
The shoulder surgeon will assess your physical demand and advise on a procedure which suits your requirement |
