Bankart Lesions

An anterior capsulolabral injury associated with a tear of the anteroinferior GLENOID LABRUM.

Also Known As:

Bankart Fractures; Bankart Lesion; Bankart Tears; Bony Bankart Lesion; Bony Bankart Lesions; Hill-Sachs Lesion; Hill-Sachs Lesions; Osseous Bankart Lesion; Osseous Bankart Lesions; Bankart Lesion, Bony; Bankart Lesion, Osseous; Bankart Lesions, Bony; Bankart Lesions, Osseous; Fractures, Bankart; Hill Sachs Lesion; Hill Sachs Lesions; Lesion, Bankart; Lesion, Bony Bankart; Lesion, Hill-Sachs; Lesion, Osseous Bankart; Lesions, Bankart; Lesions, Bony Bankart; Lesions, Hill-Sachs; Lesions, Osseous Bankart; Tears, Bankart

Networked: 255 relevant articles (7 outcomes, 17 trials/studies)

Relationship Network

Disease Context: Research Results

Wounds and Injuries: 176426
- Bone Fractures: 3857
  - Shoulder Fractures: 723
    - Bankart Lesions: 255
- Shoulder Injuries: 250
  - Shoulder Fractures: 723
    - Bankart Lesions: 255

Related Diseases

1.	Necrosis
2.	Shoulder Dislocation (Dislocation, Shoulder)
3.	Bankart Lesions
4.	Wounds and Injuries (Trauma)
5.	Shoulder Fractures

Experts

1.	Mazzocca, Augustus D: 5 articles (06/2022 - 05/2006)
2.	Itoi, Eiji: 5 articles (01/2022 - 05/2003)
3.	Lee, Thay Q: 4 articles (06/2017 - 07/2002)
4.	Imhoff, Andreas B: 4 articles (10/2016 - 05/2005)
5.	Arciero, Robert A: 3 articles (06/2022 - 06/2015)
6.	Obopilwe, Elifho: 3 articles (06/2022 - 06/2015)
7.	Tokish, John M: 3 articles (04/2022 - 12/2016)
8.	Provencher, Matthew T: 3 articles (01/2022 - 07/2010)
9.	Krych, Aaron J: 3 articles (02/2021 - 05/2014)
10.	Levy, Ofer: 3 articles (02/2021 - 09/2002)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Bankart Lesions:

1.	tricalcium phosphateIBA 02/01/2014 - "To evaluate, using magnetic resonance (MR), the biological efficacy of anchors made of 30% β-tricalcium phosphate and 70% poly-lactic co-glycolide (PLGA) used for the repair of Bankart lesions after shoulder instability. "
2.	Capsules (Microcapsules)IBA 06/15/2011 - "The purpose of this study was to evaluate the outcome of arthroscopic capsulotenodesis of the posterior capsule and infraspinatus tendon ("remplissage") to seal a large engaging Hill-Sachs lesion in an unstable shoulder. " 04/01/2022 - "This technique involves capsulotenodesis of the posterior shoulder capsule and infraspinatus tendon into a Hill-Sachs lesion. " 10/01/2021 - "The remplissage procedure is designed to fill a posterosuperior humeral head defect with the infraspinatus tendon and posterosuperior capsule in patients with off-track Hill-Sachs lesions. " 12/01/2019 - "Here, we present the technique for an arthroscopic posterior capsule reconstruction using an acellular dermal allograft as well as a McLaughlin procedure for the treatment of a reverse Hill-Sachs lesion." 06/01/2019 - "The remplissage technique is a procedure designed to fill a posterosuperior humeral head defect with the infraspinatus tendon and posterior-superior capsule in patients with engaging Hill-Sachs lesions. "
3.	MetalsIBA 07/01/2011 - "Between May 2004 and May 2008, 45 patients with bony Bankart lesion who were treated with all arthroscopic reduction and internal fixation with metal anchors were included in this study. " 07/01/2011 - "Metal anchors were used to fix the bony Bankart lesion during the surgery. " 02/01/2009 - "Case series; Level of evidence, 4. Sixty-nine consecutive patients with Bankart lesions were treated with arthroscopic reconstruction using knotless metal suture anchors. " 09/01/2001 - "The development of a bioabsorbable repair device at the authors' institution was precipitated by a desire to address and repair Bankart lesions arthroscopically while avoiding the frequent complications associated with the metal staple and the transglenoid suture technique. "
4.	SolutionsIBA 05/01/2021 - "The procedure has previously been developed to provide a potential solution for active patients with a failed labral repair, subcritical glenoid bone loss, and an on-track Hill-Sachs lesion. " 10/01/2018 - "However, there appears to be little downside in the performance of this "biologic" solution to Hill-Sachs lesions." 06/01/2014 - "Hill-Sachs remplissage, an arthroscopic solution for the engaging Hill-Sachs lesion: 2- to 10-year follow-up and incidence of recurrence." 01/01/2013 - "Anatomic reconstruction of the humeral head with osteochondral allograft has been reported as a solution for large Hill-Sachs lesions with or without glenoid bone loss. " 08/01/2011 - "For a large engaging Hill-Sachs lesion, arthroscopic remplissage is a solution. "
5.	Indicators and Reagents (Reagents)IBA 05/01/2015 - "The existence of a Hill-Sachs lesion is a stronger indicator for the outcome of instability repair. " 11/01/2000 - "A Hill-Sachs lesion of the shoulder is an indicator of shoulder instability. " 07/01/1997 - "The results of ultrasound examination as a screening method were evaluated, the indicator being the identification of the Hill-Sachs lesion. " 03/01/1996 - "An 80% probability existed that the presence and extent of a Bankart lesion identified on a cinearthrogram could be an indicator for the presence of anterior capsular elongation. "
6.	Bone SubstitutesIBA 01/01/2015 - "In conclusion, arthroscopic-assisted reconstruction of reversed Hill-Sachs lesions with an injectable bone substitute is feasible and may provide patients with all the benefits of an anatomic reconstruction with decreased risks related to open surgery. " 02/01/2018 - "Nine polyurethane humerus bone substitutes were used to create Hill-Sachs lesions of varying sizes with a combination of lesion depth (shallow, intermediate, and deep) and width (small, medium, and large). "
7.	SuspensionsIBA 04/01/2022 - "This Technical Note describes an arthroscopic bony Bankart lesion repair using suture suspension to increase contact area to gain more contact area and tissue compression to maximize the stability of the repair." 05/01/2023 - "To evaluate the results of arthroscopic autologous iliac bone graft suspension fixation combined with the Remplissage procedure in the treatment of recurrent shoulder dislocation with bony Bankart lesions and joint hyperlaxity. "
8.	PlasticsIBA 06/01/2015 - "Hill-Sachs lesions were made in the cadaver utilizing a plastic mold from the exact replica off the 3D printer. " 06/01/2015 - "Two Hill-Sachs lesions were selected on the basis of volumetric size representing the 25th percentile (0.87 cm(3); small) and 50th percentile (1.47 cm(3); medium) and printed in plastic resin with a 3D printer. " 01/01/2021 - "With each subsequent dislocation or subluxation event, there is increased glenoid bone loss (and development of inverted-pear glenoid), a greater prevalence of engaging (i.e., off-track) Hill-Sachs lesions, more extensive labral tears, a greater risk of rotator cuff involvement (in the older patient), and increased plastic and/or permanent deformation, elongation, and compromise of the antero-inferior glenohumeral joint capsule and associated inferior glenohumeral ligament complex. "
9.	Bone Cements (Bone Glue)IBA 06/01/2017 - "The Hill-Sachs lesion was reduced through a lateral cortical window with a bone tamp, and the subchondral void was filled with bone cement. " 12/01/2016 - "The purpose of this article is to describe an arthroscopically assisted disimpaction technique with supplemental grafting using a balloon osteoplasty technique for a reverse Hill-Sachs lesion with bone cement to support and maintain the reduction."
10.	antineoplaston A10 (A 10)IBA 01/01/2018 - "Testing was performed in 11 conditions: (1) intact glenoid and labrum, (2) simulated reverse Bankart lesion, (3) the reverse Bankart lesion repaired, (4) a 10% defect, (5) the reverse Bankart lesion repaired, (6) a 20% defect, (7) the reverse Bankart lesion repaired, (8) a 30% defect, (9) the reverse Bankart lesion repaired, (10) a 40% defect, and (11) the reverse Bankart repaired. " 11/01/1996 - "Using the following indications, a 2-year followup group of patients was found to have a 10% recurrence of instability rate: (1) traumatic instability, which primarily was anterior, unidirectional; (2) presence of a Bankart lesion; (3) presence of a robust inferior glenohumeral ligament; and (4) minimal to mild amount of bony erosions present at the glenoid. "

Therapies and Procedures

1.	Suture Anchors 12/25/2020 - "Applying bio-cortical bone suture anchors for the Bankart lesion is a reliable, efficient and cost effective treatment, which is also suitable for the revision of the Bankart lesion." 11/01/2009 - "The subacromial bursa is cleared; then 2 transtendon suture anchors are placed in the Hill-Sachs lesion. " 10/01/2019 - "The results of this study are useful in assisting the surgeon in understanding the interaction between the Hill-Sachs lesion size and the placement of suture anchors with the purpose of minimizing the risk of subsequent rim fracture with new injury." 08/01/2015 - "The purpose of this study was to evaluate the outcome, return to sporting activity, and postoperative articular cartilage and bony morphology of shoulders that underwent arthroscopic suture anchor repair of bony Bankart lesions. " 12/01/2014 - "This study was conducted to assess whether a single-row suture anchor repair of a bony Bankart lesion comprising 19% of the glenoid length restores peak translational force and glenoid depth compared with the intact shoulder. "
2.	Sutures (Suture) 12/01/2012 - "The low anterior portal improved and simplified the reduction of the fracture fragment to the glenoid neck by allowing access to the anterior-inferior bony Bankart lesion that was repairable with suture and knotless anchors using standardized techniques." 02/01/2015 - "The goal of this study was to evaluate contact area and surface pressure as a result of different suture patterns in the treatment of anterior shoulder instability caused by a Bankart lesion. " 05/01/2007 - "A biomechanical study of bankart lesion fixation - biodegradable ArthroRivet tack vs. suture repair." 10/01/2023 - "This arthroscopic transosseous sling-suture repair technique for shoulder anterior instability with acute and chronic bony Bankart lesion can restore joint stability, improve clinical outcomes and range of motion postoperatively. " 11/12/2022 - "During the arthroscopic examination, the previous suture was stable, while anterior capsuloligament tissues were dislodged from sutures, and a Hill-Sachs lesion was observed. "
3.	Kyphoplasty 11/01/2012 - "Using the balloon kyphoplasty system, we achieved a statistically significant reduction (80 % ) of the Hill-Sachs lesion. " 11/01/2012 - "In a preliminary cadaver study we show that using a balloon kyphoplasty system might be an alternative treatment option for Hill-Sachs lesions, with reduced collateral damage that can occur with other minimally invasive techniques. " 11/01/2012 - "We created Hill-Sachs lesions in six humeral specimens and performed a computed tomography (CT) scan before and after reduction with the kyphoplasty system. " 11/01/2012 - "With the expertise from vertebral compression fracture reduction by kyphoplasty, we examined in a cadaver feasibility study whether reduction of the Hill-Sachs lesion via hydraulic lift might be an anatomical and minimally invasive treatment option. "
4.	Operative Surgical Procedures 06/01/2007 - "Our surgical procedure offers promise for treatment of patients with recurrent dislocation of the shoulder joint and a large bony Bankart lesion because it allows the surgeon to alter the size and the grafted site of the cylindrical bone according to the size of the defect." 04/01/2019 - "Currently, there is no standard method available to make a precise evaluation of the Hill-Sachs lesion and predict its engagement before the surgical procedure. " 02/01/2016 - "As with anterior instability, patients frequently present with an impaction injury to the anterior aspect of the humeral head known as a "reverse Hill-Sachs lesion." The treatment of this bony defect is controversial, and multiple surgical procedures to fill the defect in an effort to decrease recurrence have been described. " 09/01/1997 - "This has implications for the success of surgical procedures designed for acute repair of Bankart lesions." 11/01/1995 - "Shoulder arthroscopy and arthroscopic repair procedures are alternative treatments to traditional open surgical procedures for Bankart lesions and rotator cuff tears. "
5.	Tenotomy 01/01/2021 - "Glenoid reconstruction with a distal tibial allograft is associated with improved patient-reported outcomes from preoperatively, as well as recurrence rates of <10% and graft-union rates of >90%2. Initiating the procedure with an arthroscopic evaluation allows for a complete diagnostic examination, including the Hill-Sachs lesion, articular cartilage, and rotator cuff, as well as removal of any loose bodies, which are frequently present and sometimes difficult to visualize and access during the open procedure.A subscapularis split allows for maintenance of the subscapularis insertion on the lesser tuberosity as well as minimal disruption of the muscle fibers.A conjoined tendon tenotomy can provide improved access for hardware removal if the coracoid bone graft from the prior transferred coracoid is present.A 5.5-mm arthroscopic burr is utilized to decorticate the anterior aspect of the glenoid, which facilitates graft union because the burr allows built-in suction capability during constant irrigation, minimizing the possibility of heat necrosis.The" 06/27/2018 - "The major steps of the procedure are (1) preoperative planning, (2) induction of anesthesia, (3) patient positioning and setup, (4) examination under anesthesia, (5) possible arthroscopic examination of the shoulder, (6) incision along the anterior axillary fold, (7) exposure using the deltopectoral interval, (8) clavipectoral fascia incision, (9) vertical tenotomy of the subscapularis tendon, (10) dissection of the capsule from the subscapularis, (11) assessment of the quality of the capsule, (12) "T" capsulotomy, (13) repair of the Bankart lesion, (14) anterior capsulorrhaphy, (15) subscapularis repair, (16) possible closure of the rotator interval, (17) wound closure, and (18) postoperative rehabilitation. "