What is a Bankart lesion? Bankart and SLAP Repair Post Operative PT Protocol Please contact the UWMC Shoulder and Elbow Team with any questions. To better understand what a Bankart tear or lesion is, an overview of the shoulder is needed. The humeral head (ball of the shoulder joint) is centered in the glenoid (the socket of the joint), which stabilizes the shoulder.
Bankart tear can be successfully treated with rest, anti-inflammatory measures, activity modification and Physical Therapy. When conservative measures are unsuccessful in restoring function you and your physician may elect to have the torn labrum repaired.
Bankart Repair Protocol This rehabilitation protocol has been developed for the patient following Bankart surgical procedure for anterior shoulder instability. The protocol is divided into phases. Each phase is adaptable based on the individual and special circumstances.
Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician. Arthroscopic Bankart The glenoid labrum is a fibrocartilage rim surrounding the edge of the glenoid fossa (shoulder socket).
Bankart lesion and SLAP tear both mean that shoulder capsule has torn away from its insertion on the glenoid. The shoulder labrum tear can occur in different ways.
Sling should be worn for weeks. May remove for dressing, hygiene, and tabletop use of han wrist, or elbow. Tennis ball for grip d. Southern California Orthopedic Institute. The surgeon will need to repair and reattach the tendon using absorbable tacks, wires, or sutures.
Tears below the middle of the socket are also associated with shoulder instability. By use of the standard technique, additional suture anchors are used superiorly and inferiorly to the bony Bankart piece to repair the labrum and shift the joint capsule. This way of surgery successful restores the shoulder stability with a high patient satisfaction. SLAP tears resulting in chronic pain and dysfunction, particularly in athletes, can also be addressed through arthroscopic labral surgery. Within the shoulder capsule there are a number of ligaments that act as restraints, reinforcing the shoulder joint holding the humeral head in the glenolabral cup or socket.
Arthroscopic labral repair ( Bankart or SLAP reconstruction) is a minimally invasive shoulder procedure typically performed in a day-surgery setting using general anesthesia. In this operation, small tacks called suture anchors are used to reattach torn ligaments to bone. Bankart Repair for Unstable Dislocating Shoulders Surgery to anatomically and securely repair the torn anterior glenoid labrum and capsule without arthroscopy can lessen pain and improve function for active individuals.
Download this articlein pdf format. A SLAP injury is a superior labral tear which leads to shoulder instability. A Bankart tear is usually the result of a sudden shoulder dislocation.
The average recovery time following surgery is 4-months for both types of injury. The capsular ligaments and labrum is tightened and repaired back to the glenoid to improve stability and prevent dislocations.
Arthroscopic repair of. During the shoulder arthroscopy, other injuries may be detected that can also be treate including bursal inflammation, rotator cuff tears, and cartilage damage. There are two general options for the treatment of a Bankart tear. Bankart repair : typically performed in patients with shoulder instability. One option is to allow the arm to rest, and the inflammation to subside with the use of a sling.
This is usually followed by physical therapy to regain motion of the extremity. Arthroscopic SLAP Lesion (type 2) repair Following inspection and determination of the extent of injury, the basic labrum repair is as follows. The glenoid and labrum are roughened to increase contact surface area and promote re-growth.
Locations for the bone anchors are selected based on number and severity of tear.
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