Ideally, this operation is most successful in patients with a soft tissue Bankart lesion
but no glenoid fracture who participate in non-collision sports.
The incidence of traditional soft tissue Bankart lesions
associated with traumatic anterior shoulder dislocation has been reported to be as high as 90 percent; however, a bony Bankart occurs in only a small percentage of these cases .
There is no specific clinical test that may differentiate a HAGL from a standard Bankart lesion
(14), however, in the case of anterior instability, a history of repetitive microtrauma with generalized ligamentous laxity during the physical exam is thought to be a common presentation with the hallmark abnormality believed to be inferior capsular laxity with or without associated lesions of the labrum-ligament complex (17-19).
* First-time traumatic dislocations will result in a Bankart lesion
and Hill-Sachs lesion in more than 80% of cases.
Posterior labral tears and reverse Bankart lesions
will demonstrate similar findings as their anterior counterparts, except they occur at the posterior glenoid rim.
Identification of Lesion: A diagnostic arthroscopy was performed, and the presence of the Bankart lesion
(An anterior inferior avulsion of the capsulolabral complex of the glenoid was confirmed.
In this study, we evaluated the mid-term results of minimally invasive modified Latarjet technique in traumatic anterior recurrent dislocations associated with gross Hill-Sachs and Bankart lesions
This study concluded usefulness in predicting the presence of a bankart lesion
when a hill sachs lesion is identified on a plain radiograph.
Due to the high rate of Bankart lesions
associated with anterior dislocations, authors have recently queried whether immobilization of the shoulder in ER, rather than IR, has the potential to reduce recurrence rates after initial dislocation.
The anterior labrum was most commonly afflicted, seen to be involved in 5 cases with 4 of them having a Bankart lesion
(Antero-inferior labral tear).
For an isolated Bankart lesion
, usage of three or more suture anchors is recommended, and it has been shown that a posterior repair may help to balance the stability of repair.
There are two primary types of instability, the first being traumatic (T), unidirectional (U), generally associated with a Bankart lesion
(B) and responds to surgery (S).