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Arthroscopic Fixation of Acute Reverse Bony Bankart Lesion using Cancellous Cannulated Screws: A Rare Case Report
Rahul Kakran1, Ashish Kumar Agarwal1, Vinay Sharma1
1Department of Orthopaedics, Yashoda Group of Hospitals, Ghaziabad, Uttar Pradesh, India.
Introduction:
Reverse bony Bankart lesions are a rare cause of posterior shoulder instability following traumatic dislocation. Optimal management remains controversial, especially in cases with significant glenoid bone loss. Arthroscopic fixation offers a minimally invasive alternative to open procedures.
Case Report:
A 50-year-old male presented with pain and instability of the right shoulder following a road traffic accident. Imaging revealed an acute reverse bony Bankart lesion involving approximately 38% of the glenoid surface. The patient was managed with arthroscopic reduction and internal fixation using cannulated cancellous screws. Post-operative rehabilitation was initiated early, with gradual restoration of range of motion and strengthening.
Conclusion:
Arthroscopic fixation of reverse bony Bankart lesions is a safe and effective technique in acute cases with moderate bone loss, providing stable fixation, restoration of joint congruity, and good functional outcomes while avoiding the morbidity of open surgery.