The Bony Bankart: Clinical and Technical Considerations

Nolte, Philip-C.; Elrick, Bryant P.; Bernholt, David L.; Lacheta, Lucca; Millett, Peter J.

doi:10.1097/jsa.0000000000000286

Cited by 14 publications

(38 citation statements)

References 55 publications

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“…If a bony Bankart fragment is big enough to allow screw fixation, this should be undertaken either openly or arthroscopically. If the labrum remains partially unstable, a further labrum reconstruction following screw fixation may be necessary [25].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bankart Repair Using a Lasso-Loop Stitch

Konrads¹,

Döbele²

2022

Arthroscopy

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Anterior inferior shoulder dislocation is a common injury. After primary traumatic shoulder dislocation and conservative treatment, the risk of re-dislocation is very high in patients younger than 35 years. With age, the risk of re-dislocation after traumatic shoulder dislocation and conservative treatment decreases. Surgical treatment via either open or arthroscopic stabilization minimizes the risk of re-dislocation. Today, anterior shoulder stabilization by arthroscopic refixation of the labroligamentous complex with suture anchors is a standard procedure, if there is no severe chronic bony defect at the glenoid site. Lafosse et al. described the so-called „Lasso-loop stitch“. This technique allows for positioning of the knot away from the joint and at the same time it establishes a labral bump that stabilizes the humeral head against (sub)luxation. The surgical principle and aim consist of refixation of the anterior labrum-capsule-ligament complex to the glenoid with positioning of the knot at distance to the joint as well as bulging up the labrum. This stabilizes the shoulder joint and therefore avoids further dislocations and associated pathologies. The aim of this work is to give an illustrated instruction of the surgical technique of arthroscopic Bankart repair using the lasso-loop stitch.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Bankart Repair Using a Lasso-Loop Stitch

Konrads¹,

Döbele²

2022

Arthroscopy

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“…Esto es sugerido en etapa aguda debido a la mayor probabilidad de consolidación del fragmento y para evitar la mayor reabsorción posible. 3,10,19 Por otra parte, para el segundo grupo, si el defecto glenoideo crónico es sintomático, ya sea por aprehensión o recurrencia, la recomendación es la reconstrucción articular mediante un bloque óseo debido a la ausencia de un fragmento óseo. 19,[27][28][29][30] Técnicas Quirúrgicas Durante las dos últimas décadas, se han reportado diferentes técnicas quirúrgicas, lo que representa una evolución desde la cirugía abierta hacia la artroscópica.…”

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“…2 La incidencia de la lesión BB es descrita entre un 8,6% y un 41% en un primer evento de luxación, y asciende a 50% a 86% en pacientes con eventos recurrentes. 3 A menudo, resulta un desafío entender y agrupar los diferentes conceptos anatómicos expuestos en la literatura en relación con esta lesión. Conceptos como "defecto óseo" y "fragmento óseo" glenoideo son parte de la lesión BB.…”

Section: Introduccio Nunclassified

“…Conceptos como "defecto óseo" y "fragmento óseo" glenoideo son parte de la lesión BB. 3 El primero corresponde a la pérdida de la superficie articular glenoidea, mientras que el segundo es la fractura residual que se desprende de la glenoides, ambos secundarios al evento traumático. No siempre un defecto óseo glenoideo podría estar acompañado de un fragmento óseo.…”

Section: Introduccio Nunclassified

“…2 The described incidence of BB lesions is between 8.6% and 41% in a first dislocation event, which increases to 50% to 86% in patients with recurrent events. 3 It is often a challenge to understand and group the different anatomical concepts presented in the literature regarding to this injury. Concepts such as "bone defect" and glenoid "bone fragment" are part of the BB lesion.…”

Section: Introductionmentioning

confidence: 99%

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Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLas lesiones óseas en el borde anterior del anillo glenoideo secundarias a un episodio de inestabilidad anterior del hombro cada vez son más reportadas. Conocidas como lesión de Bony Bankart, su presencia genera una pérdida de la estabilidad estática glenohumeral que provoca un aumento del riesgo de un nuevo evento de luxación. Por ende, resulta fundamental que los cirujanos ortopédicos comprendan y diagnostiquen estas lesiones de forma correcta y oportuna para evaluar la necesidad de restaurar la superficie articular glenoidea. El objetivo de esta revisión narrativa es otorgar los conceptos más importantes de la lesión ósea de Bankart para comprender y enfrentar de forma adecuada esta lesión. Nivel de Evidencia V

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Impact of size and fragmentation of the anteroinferior glenoid rim on clinical and functional outcomes of non-operatively treated Bony Bankart lesions in middle-aged population

Secci,

Lazzarini,

Distefano

et al. 2024

Arch Orthop Trauma Surg

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Introduction The optimal treatment approach for Bony Bankart remains a subject of considerable debate among shoulder surgeons. Existing literature highlights low recurrence rates and high patient satisfaction with nonoperative treatment, particularly in the middle-aged population. This study aimed to evaluate the recurrence rate of dislocation, as well as the clinical and functional outcomes in middle-aged individuals treated nonoperatively following an acute bony Bankart fracture. Additionally, the impact of glenoid rim size and fragmentation on the treatment outcome was investigated. Material and methods A prospective analysis was conducted on 20 patients aged over 50 with nonoperatively treated bony Bankart fractures, ensuring a minimum follow-up of 24 months. The study population was categorized based on fragment size (small and medium) according to Kim classification and glenoid rim fragmentation (type 1b and 1c) according to Scheibel classification. Data including UCLA score, Rowe score, recurrence rate, clinical instability, and range of motion (ROM) were collected and analyzed. Results The average UCLA and Rowe scores were 32.15 ± 2.85 and 93.85 ± 2.19, respectively, with no instances of dislocation recurrence. The affected shoulder exhibited no significant reductions in ROM compared to the contralateral side, except for a loss of external rotation (ER) (13.08° ± 7.51; p = 0.005). No differences were observed based on fragment size, although patients with multifragmented glenoid rims showed a greater loss of ER compared to those with a solitary fragment, albeit not reaching statistical significance. Conclusion Nonoperative treatment appears to be a viable and effective option for middle-aged individuals with bony Bankart fractures, resulting in favorable functional outcomes and a low risk of recurrence. Additionally, a notable loss of external rotation was observed in fractures with glenoid rim fragmentation. Level of evidence IV.

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The Bony Bankart: Clinical and Technical Considerations

Cited by 14 publications

References 55 publications

Arthroscopic Bankart Repair Using a Lasso-Loop Stitch

Arthroscopic Bankart Repair Using a Lasso-Loop Stitch

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Impact of size and fragmentation of the anteroinferior glenoid rim on clinical and functional outcomes of non-operatively treated Bony Bankart lesions in middle-aged population

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