Thursday, July 7, 2016

Bankart and variants











Bankart-lesions and variants like Perthes and ALPSA are injuries to the anteroinferior labrum.
These injuries are always located in the 3-6 o'clock position because they are caused by an anterior-inferior dislocation.
The only exception to this rule is the reverse Bankart, which is the result of a posterior dislocation and injury to the inferoposterior labrum.
Bankart tears may extend to superior, but this is uncommon.


  • Bankart
    Detachment of the anteroinferior labrum (3-6 o'clock) with complete tearing of the anterior scapular periosteum with or without an osseus fragment of the glenoid.
  • Reverse Bankart
    Detachment of the posteroinferior labrum (6-9 o'clock) with tearing of the posterior scapular periosteum with or without an osseus fragment of the glenoid.
  • Perthes
    Detachment of the anteroinferior labrum (3-6 o'clock) with medially stripped but intact periosteum.
  • ALPSA = Anterior Labral Periosteal Sleeve Avulsion.
    Medially displaced labroligamentous complex with absence of the labrum on the glenoid rim.
  • GLAD = GlenoLabral Articular Disruption.
    Represents a partial tear of anteroinferior labrum with adjacent cartilage damage.



Reference

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