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A Bankart repair is an operation for habitual anterior shoulder dislocation. [1] The joint capsule is sewed to the detached glenoid labrum , without duplication of the subscapularis tendon . The procedure is named for the Bankart lesion , a common name for the condition it addresses.
Bankart described the pathology and surgical repair of recurrent shoulder dislocation in 1923, [4] and again in 1938. [5] Although this procedure was described by Perthes in 1906, [6] Bankart is credited with popularizing the technique. [3] Thus the terms Bankart lesion and Bankart Operation remain in use.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior ( inferior ) glenoid labrum of the shoulder. [ 4 ] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
Arthroscopic surgery techniques may be used to repair the glenoidal labrum, capsular ligaments, biceps long head anchor or SLAP lesion or to tighten the shoulder capsule. [26] Arthroscopic stabilization surgery has evolved from the Bankart repair, a time-honored surgical treatment for recurrent anterior instability of the shoulder. [27]
The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5] The same authors subsequently reported much improved results when the Latarjet operation was used in patients with bone loss. [ 6 ]
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X-ray at right shows same shoulder after reduction and internal rotation, revealing both a Bankart lesion and a Hill-Sachs lesion. Diagnosis can be suspected by history and physical examination which is usually followed by imaging. Because of the mechanism of injury, apprehension of anterior dislocation is common with provocative maneuvers.
Arthroscopic surgery also allows for shorter recovery time [29] although differences in postoperative pain or pain medication use are not seen between arthroscopic- and open-surgery. [67] A 2019 review found that the evidence does not support decompression surgery in those with more than 3 months of shoulder pain without a history of trauma. [68]