HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Blasier, R. B. Articles by Alexander, A. H. Search for Related Content PubMed Articles by Blasier, R. B. Articles by Alexander, A. H.

The Bankart repair illustrated in cross-section

Some anatomical considerations

University of Michigan Medical Center, Ann Arbor, Michigan

James D. Bruckner, LT, MC, USNR

Department of Orthopaedic Surgery, Naval Hospital, Oakland, California, Department of Orthopaedic Surgery, Naval Hospital, Oakland, California

David H. Janda, MD

University of Michigan Medical Center, Ann Arbor, Michigan

A. Herbert Alexander, CAPT, MC, USN

Department of Orthopaedic Surgery, Naval Hospital, Oakland, California, Department of Orthopaedic Surgery, Naval Hospital, Oakland, California

The Bankart repair for chronic anterior shoulder insta bility effectively addresses the pathologic components responsible for repeated dislocation or subluxation. However, contrary to popular belief, the Bankart repair does not precisely restore the premorbid anatomy. The capsule is reattached to the boney rim of the anteroin ferior glenoid deep to and lateral to the torn cartilagen ous labrum, thus excluding the labrum from the joint anteriorly. This was demonstrated by cross-sectional cadaver dissections performed to illustrate this complex surgical anatomy to orthopaedic residents in training. In addition, when correlated with double-contrast com puterized axial tomography, we noted five predominant patterns of anatomical lesions which by common use have been collectively termed the "Bankart lesion." These are: 1) the rare "classic" Bankart lesion in which the cartilagenous labrum and capsular origin are torn from the glenoid rim; 2) the capsule stripped from the scapular neck and the labrum detached from the gle noid rim remaining fixed to the overlying capsule; 3) the capsule stripped from the scapular neck and the labrum separated from the glenoid rim, but separately; 4) the labrum abraded away and no longer radiographically detectable; and 5) glenoid rim fracture.

This article has been cited by other articles:

				K. P. Black, D. J. Schneider, J. R. Yu, and C. R. Jacobs Biomechanics of the Bankart Repair: The Relationship Between Glenohumeral Translation and Labral Fixation Site Am. J. Sports Med., May 1, 1999; 27(3): 339 - 344. [Abstract] [Full Text] [PDF]

				K. P. Black, T.-H. Lim, L. M. McGrady, and W. Raasch In Vitro Evaluation of Shoulder External Rotation After a Bankart Reconstruction Am. J. Sports Med., July 1, 1997; 25(4): 449 - 453. [Abstract] [PDF]

				B. N. Rosenberg, J. C. Richmond, and W. N. Levine Long-Term Followup of Bankart Reconstruction: Incidence of Late Degenerative Glenohumeral Arthrosis Am. J. Sports Med., September 1, 1995; 23(5): 538 - 544. [Abstract] [PDF]