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Reverse bankart

Mohit N Gilotra, Matthew W Christian, Richard M Lovering
The patient was a 21-year-old collegiate running back who was tackled during a football game and sustained a posterior glenohumeral dislocation. He was referred to an orthopaedist and presented 3 weeks after the injury, and, following examination, further imaging was ordered by the orthopaedist due to rotator cuff weakness. Magnetic resonance imaging showed a complete tear of the supraspinatus and infraspinatus, as well as a posterior Bankart lesion, a subscapularis tear, and a dislocation of the biceps long head tendon into the reverse Hill-Sachs lesion...
August 2016: Journal of Orthopaedic and Sports Physical Therapy
Arif Karmali, Jennifer McLeod
OBJECTIVE: To present the assessment and conservative management of chronic shoulder pain in the presence of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion in an active individual. CLINICAL FEATURES: A 47 year-old female office-worker with constant, deep, right shoulder pain with occasional clicking and catching claimed to have "tore something" in her right shoulder five years ago while performing reverse bicep curls. A physical exam led to differential diagnoses of a Superior Labrum Anterior to Posterior (SLAP) lesion, Bankart lesion, and bicipital tendinopathy...
June 2016: Journal of the Canadian Chiropractic Association
Brian J Rebolledo, Benedict U Nwachukwu, Gabrielle P Konin, Struan H Coleman, Hollis G Potter, Russell F Warren
BACKGROUND: Lesions associated with posterior humeral avulsion of the glenohumeral ligament (HAGL) can lead to persistent symptoms related to posterior shoulder instability and can be commonly missed or delayed in diagnosis. PURPOSE: To identify and characterize the MRI findings in patients with a posterior HAGL lesion. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This retrospective case series included 27 patients (28 shoulders) identified by search through the senior authors' databases, with cross-reference to their institutional radiologic communication system for MRI review...
December 2015: American Journal of Sports Medicine
Paulo Santoro Belangero, Mariana Ferreira Leal, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman, Moises Cohen
OBJECTIVE: To evaluate the expression of the genes COL1A1, COL1A2, COL3A1 and COL5A1 in the glenohumeral capsule of patients with traumatic anterior instability of the shoulder. METHODS: Samples from the glenohumeral capsule of 18 patients with traumatic anterior instability of the shoulder were evaluated. Male patients with a positive grip test and a Bankart lesion seen on magnetic resonance imaging were included. All the patients had suffered more than one episode of shoulder dislocation...
November 2014: Revista Brasileira de Ortopedia
José Carlos Garcia, Lucas Russo Maia, Juliano Rocha Fonseca, José Luís Amim Zabeu, Jesely Pereira Myrrha Garcia
OBJECTIVE: To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results. METHODS: We evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to measure the results before surgery and 12 months thereafter. RESULTS: The average UCLA score changed from 26.67±0.25 (SD 0...
May 2015: Acta Ortopedica Brasileira
Claire K Sandstrom, Stephen A Kennedy, Joel A Gross
Many excellent studies on shoulder imaging from a radiologic perspective have been published over the years, demonstrating the anatomy and radiologic findings of shoulder trauma. However, it may not always be clear what the surgeon, who bears the responsibility for treating the injured patient, really needs to know about the injury to predict outcomes and plan management. The authors review the relevant osseous, soft-tissue, and vascular anatomy and describe the clinically relevant concepts that affect management...
March 2015: Radiographics: a Review Publication of the Radiological Society of North America, Inc
T Smith, M F Pastor, F Goede, M Struck, M Wellmann
OBJECTIVE: Arthroscopic posterior shoulder stabilization with an iliac bone graft and capsulolabral repair, which should combine the pre-existing open procedure with the advantages of improved arthroscopic visualization. INDICATIONS: Posterior instability with concomitant pathologies (e.g. capsular insufficiency, posterior Bankart lesion, posterior glenoid dysplasia) and recurrent posterior instability after failed soft tissue reconstruction. CONTRAINDICATIONS: Instability osteoarthritis, locked posterior shoulder dislocation, large reverse Hill-Sachs lesion, extended posterior defect of the glenoid...
February 2015: Operative Orthopädie und Traumatologie
Umile Giuseppe Longo, Giacomo Rizzello, Joel Locher, Giuseppe Salvatore, Pino Florio, Nicola Maffulli, Vincenzo Denaro
PURPOSE: The aim of this systematic review was to analyse outcomes of surgical procedures for glenoid and/or humeral bony defects, performed singularly or in combination, in patients with posterior gleno-humeral instability. A secondary aim was to establish in clinical settings which percentage of glenoid or humeral bone loss should be treated with a bony procedure to avoid recurrence of dislocation. METHODS: A systematic review of the literature according to the PRISMA guidelines was performed...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Jae-Ho Cho, Nam-Su Chung, Hyung-Keun Song, Doo-Hyung Lee
Rifle shooting produces a sudden counterforce against the body thorough the anterior shoulder, which may produce a traumatic injury in soldiers. Posterior instability of the shoulder can occur in soldiers who practice rifle shooting. To the authors' knowledge, few reports have examined shooting-related injuries in soldiers. This article describes the case of a 27-year-old male soldier who presented with left shoulder pain and instability after rifle training. He developed symptoms, and presented radiographic findings consistent with a posterior Bankart lesion...
November 2012: Orthopedics
James Crichton, Doug R Jones, Lennard Funk
BACKGROUND: Shoulder injuries in rugby players are common, but the mechanisms of injury are less well understood. This study aims to elucidate common mechanisms of injury and identify the patterns of injury they produce. MATERIALS AND METHODS: Twenty-four elite rugby players, referred to the senior author for diagnosis and management of shoulder injuries, were selected. Videos of the injuries were independently reviewed by rugby-medical experts to describe the mechanisms of injury...
June 2012: British Journal of Sports Medicine
Matthew T Provencher, Rachel M Frank, Lance E Leclere, Paul D Metzger, J J Ryu, Andrew Bernhardson, Anthony A Romeo
The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability. Reverse Hill-Sachs lesion has been described in patients with posterior shoulder instability. Glenoid bone loss is typically associated with the Hill-Sachs lesion in patients with recurrent anterior shoulder instability...
April 2012: Journal of the American Academy of Orthopaedic Surgeons
Manisha Jana, Shivanand Gamanagatti
The glenohumeral joint is the most commonly dislocated joint of the body and anterior instability is the most common type of shoulder instability. Magnetic resonance (MR) imaging, and more recently, MR arthrography, have become the essential investigation modalities of glenohumeral instability, especially for pre-procedure evaluation before arthroscopic surgery. Injuries associated with glenohumeral instability are variable, and can involve the bones, the labor-ligamentous components, or the rotator cuff. Anterior instability is associated with injuries of the anterior labrum and the anterior band of the inferior glenohumeral ligament, in the form of Bankart lesion and its variants; whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesion...
September 28, 2011: World Journal of Radiology
Ramez Gharabawy, Vijayasimha R Pothula, Vladimir Rubinshteyn, Michael Silverberg, Asaf A Gave
Posterior reversible encephalopathy syndrome (PRES) is a rare disorder that is usually associated with hypertensive crises. It is often missed but may be diagnosed by head computed tomographic (CT) scan or magnetic resonance imaging. An adolescent man presented for elective right shoulder arthroscopic bankart repair. Arthroscopy was performed using a solution of normal saline with 3.3 mg/L of epinephrine for irrigation. Postoperatively, the patient presented with hypertension and epileptiform activity. A CT scan of the head showed PRES...
September 2011: Journal of Clinical Anesthesia
Manisha Jana, Deep Narayan Srivastava, Raju Sharma, Shivanand Gamanagatti, Hiralal Nag, Ravi Mittal, Ashish Dutt Upadhyay
The glenohumeral joint is the most commonly dislocated joint in the body, and anterior instability is the most common type of shoulder instability. Depending on the etiology and the age of the patient, there may be associated injuries, for example, to the anterior-inferior labro-ligamentous structures (in young individuals with traumatic instability) or to the bony components (commoner in the elderly), which are best visualized using MRI and MR arthrography. Anterior instability is associated with a Bankart lesion and its variants and abnormalities of the anterior band of the inferior glenohumeral ligament (IGHL), whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesions...
April 2011: Indian Journal of Radiology & Imaging
Desmond J Bokor, Brett A Fritsch
BACKGROUND: Posterior shoulder instability resulting from a disruption of the posterior capsular structures has been reported. We present the largest series of these injuries in the published literature, propose a definition and highlight the clinical presentation, radiological findings, and associated injuries. MATERIALS AND METHODS: A retrospective review of a single shoulder surgeons database was performed identifying posterior instability cases associated with disruption of the posterior capsule...
September 2010: Journal of Shoulder and Elbow Surgery
Lina Chen, Daniel Keefe, John Park, Donald Resnick
No abstract text is available yet for this article.
May 2009: Journal of Shoulder and Elbow Surgery
Peter J Hughes, Cronan Kerin, Richard P Hagan, Anthony C Fisher, Simon P Frostick
It has been reported that the effectiveness of arthroscopic procedures in terms of preventing recurrent dislocation has not matched that from open techniques. Also little is known about how these knots behave when exposed to physiological loading following repair. This study presents the development of a practical tool to allow surgeons to test the quality of their arthroscopic knots and allow them to make choices with regard to knot configuration and suture material. This study uses an apparatus to model the repair of a Bankart lesion...
October 2008: Acta Orthopaedica Belgica
Nadja Saupe, Lawrence M White, Robert Bleakney, Mark E Schweitzer, Michael P Recht, Bernhard Jost, Marco Zanetti
PURPOSE: To retrospectively evaluate the appearance of lesions of osseous and soft-tissue structures of the glenohumeral joint on magnetic resonance (MR) images after first-time traumatic posterior shoulder dislocation. MATERIALS AND METHODS: The study was institutional review board approved and HIPAA compliant, as appropriate, for the four institutions at which the involved patients were treated. Informed patient consent was obtained, were applicable. Thirty-six male patients (age range, 15-80 years; mean age, 40...
July 2008: Radiology
Felix H Savoie, M Shaun Holt, Larry D Field, J Randall Ramsey
PURPOSE: The purpose of this study was to evaluate the effectiveness of arthroscopic posterior shoulder reconstruction. METHODS: We treated 136 shoulders in 131 patients with a diagnosis of primary posterior instability who failed 6 months of vigorous rehabilitation by operative stabilization between 1989 and 2001. Inclusion criterion was primary posterior instability that failed an extensive rehabilitative program with functional impairment and pain. Exclusion criterion was less than 12 months of follow-up and Suretac (Smith & Nephew, Andover, MA) or laser stabilization, leaving 92 shoulders in 90 patients available for the study (69 male, 21 female)...
April 2008: Arthroscopy: the Journal of Arthroscopic & related Surgery
Richard J Hawkins, Sumant G Krishnan, Spero G Karas, Thomas J Noonan, Marilee P Horan
BACKGROUND: Few studies have documented the outcomes of thermal capsulorrhaphy for shoulder instability. PURPOSE: To examine prospective evaluate outcomes of the first 100 patients with glenohumeral instability treated with thermal capsulorrhaphy. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between 1997 and 1999, 85 of 100 patients treated with thermal capsulorrhaphy for glenohumeral instability were available for review at 2-year minimum follow-up (average, 4 years)...
September 2007: American Journal of Sports Medicine
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