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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Anterior shoulder stabilization using the bankart procedure.
1From the Orthopaedic Surgery Service, and the Sports Medicine Unit, Massachusetts General Hospital, Boston, Massachusetts.
Sports Medicine and Arthroscopy Review
|January 1, 1993
Summary
The Bankart procedure repairs traumatic anterior shoulder dislocations by suturing the torn capsule and ligaments back to the glenoid bone. This surgical technique addresses the primary Bankart lesion, restoring shoulder stability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Traumatic anterior glenohumeral dislocation involves avulsion of the anterior capsule and ligaments from the glenoid rim, known as a Bankart lesion.
- This lesion is the primary pathological cause of shoulder instability following dislocation or subluxation.
Purpose of the Study:
- To describe the Bankart procedure for repairing Bankart lesions.
- To detail the surgical technique for restoring anterior shoulder stability.
Main Methods:
- The Bankart procedure involves direct suturing of the avulsed capsule to the glenoid bone.
- A deltopectoral approach is utilized, with medial retraction of the conjoined tendon.
- A T-shaped incision in the subscapularis and capsule provides access to the glenoid rim for repair.
Main Results:
- The avulsed capsule is securely reattached to the glenoid rim.
- Repair is achieved using sutures passed through the glenoid rim or via suture anchors.
Conclusions:
- The Bankart procedure effectively repairs the primary lesion in traumatic anterior glenohumeral dislocation.
- This surgical method aims to restore shoulder stability by reattaching the capsule and ligaments.
