How do you treat bony Bankart lesions?
How do you treat bony Bankart lesions?
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.
How do you fix a Hill-Sachs lesion?
Large or engaging Hill-Sachs lesions are addressed by either reconstructing (rebuilding) any lost bone on the glenoid side or performing a “Remplissage” procedure which repairs the posterior capsule and rotator cuff tendon to the Hill-Sachs bone defect.
Is Hill-Sachs lesion serious?
The outlook for recovery from a dislocated shoulder and a Hill-Sachs lesion is generally good. But a recurrence of a dislocation is common, especially in younger people. In the long-term, about one-third of people who have surgery for a dislocated shoulder will develop shoulder arthritis.
What causes a Hill-Sachs lesion?
Hill-Sachs lesions are associated with shoulder dislocation which may be caused by: Falls or accidents. Contact sports as well as sports that involve overhead arm movements. Work that involves lifting, pushing, pulling or repetitive overhead movements.
What is shoulder Bankart repair?
A Bankart repair is a surgical procedure to prevent recurring anterior shoulder dislocations due to instability in the back of the shoulder. The most common form of shoulder ligament injury is the Bankart lesion, where the ligaments are torn from the front of the socket.
What causes a Hill Sachs lesion?
How does Hill-Sachs deformity occur?
The Hill-Sachs defect occurs when there is an injury to the bone and cartilage of the humeral head. The shoulder joint is made up of the humeral head and the glenoid bone (the socket). Ligaments, cartilage, and tendons help hold these bones in place.
What is the difference between a Bankart lesion and Hill-Sachs lesion?
When the damage only involves the labrum it is called a Bankart lesion. A Hill-Sachs lesion occurs when the lesion to the labrum presents simultaneously with a structural defect of the bone of the humeral head. A Bankart lesion consists of a tear of the glenoid labrum.
What is a Bankart lesion of the shoulder?
The soft tissue Bankart lesion involves injury to the anterior or anteroinferior glenoid labrum, the fibrocartilagenous structure that surrounds and deepens the bony glenoid. Like the Hill-Sachs lesion, a Bankart lesion may result in anterior shoulder joint instability and recurrent dislocations.
What is a Hill-Sachs lesion on the shoulder?
This is an injury of the anterior glenoid labrum of the shoulder and often often accompanied by a Hill-Sachs lesion. Conservative treatment is only recommended in cases of small bony defects (<20% Hill-Sachs lesion), in other cases (larger and more significant lesions), surgical treatment is needed.
How is a Bankart lesion of the labrum diagnosed?
A Bankart lesion of the labrum is visualised at best by MRI using a contrast agent. X-rays and CT scans do not detect easily a Bankart lesion as it involves soft tissue but are useful to diagnose a Hill-Sachs lesion to the humeral head and possible collateral fractures.
