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Arthroscopic Bennett Lesion Resection: A Novel Technique.

Samuel C Hammonds1, R Alexander Creighton1

  • 1Department of Orthopaedics, UNC School of Medicine, Chapel Hill, North Carolina, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

Bennett lesions, ossification of the posterior inferior glenohumeral ligament complex, can cause pain in throwers. Arthroscopic resection offers a successful treatment, with high patient satisfaction and return to sport.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Bennett lesion is ossification of the posterior inferior glenohumeral ligament complex.
  • Often asymptomatic, it can cause pain and affect throwing ability in athletes.
  • Common in elite throwers, potentially caused by posterior joint traction or impingement.

Purpose of the Study:

  • To describe and evaluate an arthroscopic technique for treating symptomatic Bennett lesions.
  • To assess the efficacy and patient outcomes of this surgical approach.

Main Methods:

  • Arthroscopic resection of the Bennett lesion via posterior and anterior portals.
  • Involves debridement, posterior capsular release, and burr resection.
  • Potential concurrent repair of posterior labral tears if present.
Keywords:
Bennettarthroscopicresectiontechniquethrowers

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Main Results:

  • Successful treatment of Bennett lesions with good outcomes.
  • Return to preinjury levels reported in 69% to 85% of patients following arthroscopic resection.
  • High patient satisfaction (88%) reported when using specific diagnostic criteria.

Conclusions:

  • Accurate diagnosis using specific criteria (X-ray, pain patterns, physical exam, lidocaine response) is crucial.
  • Arthroscopic resection is an effective treatment for symptomatic Bennett lesions.
  • The described technique provides significant and lasting improvement for throwing athletes.