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Reverse bankart

Andrew Roy McKean, Shankar Kumar, Greg Michael McKean, Demitrios Tzias
A man in his mid-50s with a history of bladder carcinoma presented to the Emergency Department (ED) following a witnessed tonic-clonic seizure. Computed Tomography (CT) scanning of his brain revealed an indeterminate mass lesion in the left parietal region. The patient described bilateral shoulder pain prompting plain film radiographs with axial views, but no obvious abnormality was identified by the ED staff. Staging CT scanning did not reveal any evidence of underlying malignancy but revealed dislocation of the left humeral head with a large reverse Hill-Sachs lesion and posteriorly displaced reverse Bankart lesion...
March 28, 2018: BMJ Case Reports
Christopher Nacca, Joseph A Gil, Rohit Badida, Joseph J Crisco, Brett D Owens
BACKGROUND: There is currently no consensus regarding the amount of posterior glenoid bone loss that is considered critical. Critical bone loss is defined as the amount of bone loss that occurs in which an isolated labral repair will not sufficiently restore stability. PURPOSE: The purpose is to identify the critical size of the posterior defect. STUDY DESIGN: Controlled laboratory study. METHODS: Eleven cadaveric shoulders were tested...
April 2018: American Journal of Sports Medicine
Nathan Olszewski, Michael Gustin, Emily J Curry, Xinning Li
PURPOSE OF THE REVIEW: The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach. RECENT FINDINGS: Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with minimal bone loss. Latarjet is a generally accepted procedure in patients with 20-30% glenoid bone loss. When bone loss exceeds that which cannot be managed through Latarjet, a range of options exist and are highly dependent upon the extent of osseous deficiency on both the glenoid and humeral sides, surgeon experience, and patient-specific factors...
December 2017: Current Reviews in Musculoskeletal Medicine
Eduardo Sánchez Alepuz, Jaime Alonso Pérez-Barquero, Nadia Jover Jorge, Francisco Lucas García, Vicente Carratalá Baixauli
BACKGROUND: It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients. METHODS: We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability. RESULTS: There are conservative and surgical treatment options. Conservative treatment has positive results in most patients, with around 65 to 80% of cases showing recurrent posterior dislocation...
2017: Open Orthopaedics Journal
Colten Luedke, Stefan J Tolan, John M Tokish
Posterior shoulder instability with glenoid bone loss has only a fraction of the prevalence of anterior instability. Unlike the latter, there is a paucity of literature regarding the treatment of posterior bony Bankart lesions and even less with concomitant reverse Hill-Sachs lesions. This combination of pathology leads to a difficult situation regarding treatment options. We present our technique for arthroscopic repair of a posterior bony Bankart lesion and reverse Hill-Sachs lesion. The importance of proper portal placement cannot be overstated...
June 2017: Arthroscopy Techniques
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
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