Bankart Repair: Effective Solution for Recurrent Shoulder Dislocation

Discover Bankart Repair as a solution for recurrent shoulder dislocation, explained by Dr. Sunil Choudhary. Understand the underlying causes, implications, and comprehensive treatment options for this condition.

Understanding Recurrent Shoulder Dislocation: The Glenohumeral Joint, or Shoulder Joint, can be inherently unstable due to the ball of the humerus having a wider circumference than the shallow socket (glenoid). Stability relies on adjoining soft tissues such as the labrum, capsule, and ligaments.

Recurrent dislocation involves repeated dislocations of the Glenohumeral complex, where the humeral head pops out of the glenoid cavity due to instability. This can result from traumatic dislocation, generalized ligament laxity, or repetitive injury as seen in throwing athletes like pitchers or bowlers.

Exploring Bankart and Hill Sachs Lesions:

  • Bankart Lesion: Arises from anterior inferior labrum detachment from the glenoid due to prior Anterior Shoulder Dislocation. It may involve soft tissue or the bony margin of the glenoid (Bony Bankart). Labral tears may also be present.
  • Hill Sachs Lesion: A cortical depression in the posterolateral head of the humerus bone, resulting from forceful humeral head impaction against the anteroinferior glenoid rim during anterior shoulder dislocation.

Treatment Options: 1) Conservative (Non-surgical) Treatment:

  • Suitable for patients with a sedentary lifestyle or minimal physical activity.
  • The risk of dislocation remains, but activities causing vulnerability should be restricted.

2) Surgical Treatment:

  • Recommended for active patients, especially young individuals and athletes.
  • Surgical approaches include:
    • Arthroscopic Bankart Repair (Keyhole surgery): Reattaches the labral-capsular complex to the glenoid using suture anchors. Capsular shift (tightening) can also be performed.
    • Bony Operations: In cases of significant bone loss or large Hill Sachs Lesion, a Bankart Repair alone may fail. Latarjet Procedure (coracoid transfer) or bone graft may be performed in open surgery.

Post-operative Course:

  • Hospital discharge on the same or next day for arthroscopic repair, 2-3 days for open surgery.
  • Immobilization in a shoulder sling for 3-6 weeks.
  • Initiation of pendulum exercises at 2-3 weeks post-surgery.
  • Introduction of full range-of-motion exercises at 4 weeks post-surgery.
  • Commencement of shoulder muscle strengthening around 8 weeks post-surgery.

Recovery Timeline:

  • About 2 months for routine activities.
  • 3-4 months for recreational athletes to return to sports.
  • Longer duration for professional athletes based on sport and competition level.

Rely on Dr. Sunil Choudhary’s Expertise: Explore Bankart Repair as an effective solution for recurrent shoulder dislocation. Dr. Sunil Choudhary’s insights provide a comprehensive understanding of this condition and its treatments. #ShoulderInstabilityInsights #BankartRepairExpertise #OrthopedicCare