Bankart lesion

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Classification according to ICD-10
S43.01 Shoulder dislocation with Bankart lesion
S43.0 Dislocation of the shoulder joint
ICD-10 online (WHO version 2019)
View of a Bankart lesion during a jointoscopy
X-ray image of a bony Bankart lesion with a fragment on the lower acetabulum. At the same time there is also a subcapital fracture of the humerus .

A Bankart lesion is a special injury ( lesion ) of the shoulder joint that is usually caused by a dislocation of the shoulder ( shoulder dislocation ) forwards during trauma . The joint lip ( labrum glenoidale ) of the joint socket ( Cavitas glenoidalis , also briefly glenoid ) of the shoulder blade in the lower area of ​​the anterior edge of the socket is partially or completely torn off.

A corresponding injury in the lower area of ​​the posterior rim of the shoulder joint is called a "reversed" Bankart lesion .

In the case of a Bankart lesion, the joint lip can no longer properly stabilize the shoulder joint in the area of ​​the avulsion and it can more easily lead to (further) dislocation of the shoulder (especially in connection with a Hill-Sachs lesion ).

The Bankart lesion is named after the English surgeon Arthur SB Bankart (1879–1951).

Accompanying pathologies

If there is a Bankart lesion, the anterior lower joint capsule and its ligaments are often torn on the affected shoulder joint . A part of the bony joint socket edge also rarely breaks off ( glenoid fracture ), in which case one speaks of a bony Bankart lesion or Bankart fracture .

See also

literature

  • P. Habermeyer, D. Jung, T. Ebert: Treatment strategy for the traumatic anterior initial dislocation of the shoulder . In: The orthopedist . tape 101 , no. 5 , 1998, pp. 328-341 .

Web links

Commons : Shoulder Dislocation  - Collection of pictures, videos and audio files