ARTHROSCOPY & SPORTS INJURY ASSOCIATES
OVERVIEW
What Is Bankart Repair?
Bankart repair is a surgical procedure used for treating a Bankart lesion, or torn labrum of the anterior-inferior part of the shoulder socket. This injury is usually seen in patients who had a traumatic shoulder dislocation and is responsible for shoulder instability. During the procedure, the torn labrum is fixed back onto the shoulder socket using special anchors, allowing patients to stabilize the shoulder joint and prevent future dislocations. Timely surgical treatment may prevent shoulder damage and facilitate the return to normal sports and daily activities.
Here are the key facts about Bankart Repair:
- Repairs a torn shoulder labrum resulting from Bankart lesion
- Restores stability of the shoulder joint
- Most common treatment for recurrent shoulder dislocation
- Reduces risk of future dislocations and improves shoulder functionality
Bankart repair is a surgical procedure used for treating a Bankart lesion, or torn labrum of the anterior-inferior part of the shoulder socket. This injury is usually seen in patients who had a traumatic shoulder dislocation and is responsible for shoulder instability. During the procedure, the torn labrum is fixed back onto the shoulder socket using special anchors, allowing patients to stabilize the shoulder joint and prevent future dislocations. Timely surgical treatment may prevent shoulder damage and facilitate the return to normal sports and daily activities.
Here are the key facts about Bankart Repair:
- Repairs a torn shoulder labrum resulting from Bankart lesion
- Restores stability of the shoulder joint
- Most common treatment for recurrent shoulder dislocation
- Reduces risk of future dislocations and improves shoulder functionality
Surgeons Available for Consultations
Dr. Karnav Panchal
M.B.B.S, M.S. (Orthopedics),
FAOS (South Korea)
Consultant Arthroscopist & Sports Injury Specialist Consultant Joint Replacement Surgeon
Dr. Aniket Gupta
M.B.B.S, M.S. (Orthopedics),
MRCS (Edinburgh)
Training & Qualifications Fellowship in MRCS (UK) Arthroscopy & Arthroplasty (Milan, Italy)
Consultant Physiotherapist
Dr. Aarsh Bhatt
B.P.T,M.P.T (Cardio-Respiratory Disorders) MIAP , HCPC (UK) , DHA (UAE)
Consultant Physiotherapist
Dr. Hetvi Dimothe
BPT , M.P.T (Rehabilitation) MIAP, HCPC (UK) , DHA (UAE)
Consultant Physiotherapist
Causes
What Causes a Bankart Lesion?
Bankart lesion is the tear of the labrum at the anterior-inferior portion of the shoulder socket, resulting from traumatic anterior dislocation. It is usually seen in people who experienced shoulder injury in a fall, accident, sport, or other similar event. As the labrum plays an important role in maintaining shoulder joint stability, an untreated Bankart lesion leads to recurrent shoulder instability.
Causes
What Causes a Bankart Lesion?
Bankart lesion is the tear of the labrum at the anterior-inferior portion of the shoulder socket, resulting from traumatic anterior dislocation. It is usually seen in people who experienced shoulder injury in a fall, accident, sport, or other similar event. As the labrum plays an important role in maintaining shoulder joint stability, an untreated Bankart lesion leads to recurrent shoulder instability.
Here are the factors that may cause Bankart lesion:
- Anterior shoulder dislocation
- Sports injuries involving significant shoulder impact
- Fall on the extended arm
- Motor vehicle accident
- Recurrent shoulder dislocation causing repetitive labral tear
What Other Tissues May Be Injured Along with Bankart Lesion?
A Bankart lesion may be associated with injuries of other tissues involved in stabilization and movement of the shoulder joint.
- Glenoid labrum
- Shoulder joint capsule
- Glenohumeral ligaments
- Rotator cuff tendons
- Glenoid articular cartilage
- Humeral head (including Hill-Sachs lesions)
SYMPTOMS
What Are the Symptoms of a Bankart Lesion?
Patients may experience a variety of symptoms associated with this condition. They depend on the severity of the injury and extent of shoulder joint instability. Some patients experience symptoms only after shoulder dislocation, whereas others show instability even with regular daily activities or sport practice. Timely detection of the lesion allows to prevent future dislocations and additional damage of the shoulder joint.
Shoulder joint instability
It is felt as the sensation that the shoulder joint may slip out.
Shoulder pain
It appears after the dislocation and persists during particular movements or activities.
Recurrent shoulder dislocation
Shoulder joint may become repeatedly dislocated or partially dislocated after the injury.
Ignoring the above-mentioned symptoms may lead to repeated shoulder dislocations, progressive labral tear, cartilage damage, shoulder instability, and reduced shoulder functionality.
Connect with our experts and get the right guidance for your condition.
Clicking/catching sensations
There may be clicking or catching of the shoulder joint during its motion.
Limited range of motion
Shoulder pain and instability may result in inability to move the shoulder.
Weakness
Shoulder instability causes shoulder weakness during lifting, pushing, or overhead movements.
Difficulties in daily activities
Daily tasks like reaching up, lifting objects, dressing, and participating in sports become hard.
Connect with our experts and get the right guidance for your condition.
BOOK CONSULTATIONDIAGNOSIS
How Do Doctors Diagnose a Bankart Lesion?
Doctors diagnose Bankart lesion basing on the patients' symptoms, history of the shoulder injury, and detailed physical examination. Doctors check shoulder joint stability, range of motion, strength, and presence of shoulder joint instability. Imaging studies are used to confirm the labral tear and detect associated shoulder injuries. At ALIGN ASIA, thorough assessment helps in the accurate diagnosis and individualized treatment planning.
DIAGNOSIS
How Do Doctors Diagnose a Bankart Lesion?
Doctors diagnose Bankart lesion basing on the patients' symptoms, history of the shoulder injury, and detailed physical examination. Doctors check shoulder joint stability, range of motion, strength, and presence of shoulder joint instability. Imaging studies are used to confirm the labral tear and detect associated shoulder injuries. At ALIGN ASIA, thorough assessment helps in the accurate diagnosis and individualized treatment planning.
Bankart lesion can be diagnosed using the following methods:
- Shoulder joint physical examination assessing shoulder joint stability, range of motion, strength, and instability
- Imaging studies assessing labral tear and associated injuries
- MRI or MR arthrogram
- X-ray
- CT scan (when a detailed evaluation of the bone is needed)
TREATMENT
What Is the Treatment for a Bankart Lesion?
Depending on the severity of the labral tear, degree of shoulder instability, age, activity level, and frequency of shoulder dislocations, treatment may include non-surgical or surgical options. While some shoulder injuries can be treated non-operatively, surgical treatment may be needed for recurrent shoulder instability and significant shoulder joint injuries. Early treatment allows patients to stabilize their shoulder and prevent additional joint damage.
Pain management
Relieves pain and inflammation after the injury.
Activity modification
Avoiding stressful shoulder joint movements prevents further injuries of the labrum during recovery.
Physiotherapy
Increases strength of shoulder muscles and provides joint stability.
Shoulder joint rehabilitation
Structured rehabilitation program improves shoulder joint flexibility, strength, and function.
Bankart repair surgery
Repair of the torn labrum and improvement of shoulder joint stability.
NON-SURGICAL CARE
How is a Bankart Lesion Treated Without Surgery?
While some patients with shoulder injury can be effectively treated without surgical repair, non-operative treatment is aimed at pain relief, restoring shoulder joint movements, increasing shoulder joint stability, and preventing recurrent dislocations. Rehabilitation plays an important role in shoulder joint treatment and recovery.
NON-SURGICAL CARE
How is a Bankart Lesion Treated Without Surgery?
While some patients with shoulder injury can be effectively treated without surgical repair, non-operative treatment is aimed at pain relief, restoring shoulder joint movements, increasing shoulder joint stability, and preventing recurrent dislocations. Rehabilitation plays an important role in shoulder joint treatment and recovery.
Non-surgical treatment options include:
- Physiotherapy programs increasing shoulder joint strength and stability
- Activity modification reducing stress on the injured labrum
- Pain medications reducing pain
- Progressive rehabilitation exercises for restoration of shoulder joint stability and movement
RISKS OF NO TREATMENT
When Is Bankart Repair Necessary?
While some Bankart lesions may be successfully treated without surgery, in case of recurrent shoulder instability or high probability of shoulder dislocation, surgical treatment becomes necessary. Bankart repair is a surgical procedure aiming to restore shoulder joint stability and prevent further dislocations.
RISKS OF NO TREATMENT
When Is Bankart Repair Necessary?
While some Bankart lesions may be successfully treated without surgery, in case of recurrent shoulder instability or high probability of shoulder dislocation, surgical treatment becomes necessary. Bankart repair is a surgical procedure aiming to restore shoulder joint stability and prevent further dislocations.
Bankart repair is needed in the following cases:
- Recurrent shoulder dislocations or instability
- Significant Bankart lesion causing shoulder dysfunction
- Active athletes or physically active individuals needing optimal shoulder stability
- Failing of the non-surgical treatment
Early surgical treatment of Bankart lesion prevents future dislocations and protects shoulder joint from further damage.
SURGERY
How Is Bankart Repair Surgery Performed?
Bankart repair is a surgical procedure performed to attach the torn labrum to the edge of the shoulder socket and restore shoulder joint stability. It is usually performed using minimally invasive arthroscopic technique, however, open surgical approach may be needed in selected cases. By restoring the function of the labrum and supporting tissues, Bankart repair prevents future shoulder instability and improves shoulder function. At ALIGN ASIA, every surgical treatment is performed individually, considering the severity of the injury and associated shoulder joint damage.
Bankart repair surgery is usually performed using the following procedure:
- Incisions are made in order to access the shoulder joint with arthroscope.
- Torn labrum and shoulder joint tissues are examined and prepared for surgery.
- Special suture anchors are placed into the rim of the glenoid in order to fix the labrum.
- The shoulder joint and the attached labrum are carefully checked to ensure their stability.
- The incisions are closed, and individual post-operative rehabilitation program is provided.
SURGERY
How Is Bankart Repair Surgery Performed?
Bankart repair is a surgical procedure performed to attach the torn labrum to the edge of the shoulder socket and restore shoulder joint stability. It is usually performed using minimally invasive arthroscopic technique, however, open surgical approach may be needed in selected cases. By restoring the function of the labrum and supporting tissues, Bankart repair prevents future shoulder instability and improves shoulder function. At ALIGN ASIA, every surgical treatment is performed individually, considering the severity of the injury and associated shoulder joint damage.
Bankart repair surgery is usually performed using the following procedure:
- Incisions are made in order to access the shoulder joint with arthroscope.
- Torn labrum and shoulder joint tissues are examined and prepared for surgery.
- Special suture anchors are placed into the rim of the glenoid in order to fix the labrum.
- The shoulder joint and the attached labrum are carefully checked to ensure their stability.
- The incisions are closed, and individual post-operative rehabilitation program is provided.
COMPLICATIONS
What Are Possible Complications of Bankart Lesion or Its Treatment?
While majority of patients have positive outcomes, in rare cases some complications may occur in case of undiagnosed or improperly treated Bankart lesion. Proper treatment and rehabilitation prevent complications and minimize their risks. Follow-up visits allow monitoring of the shoulder joint and treatment.
Recurrent shoulder instability
Shoulder joint may remain unstable or become repeatedly dislocated if the labral tear is not healed.
Shoulder stiffness
Some patients may develop limited shoulder joint mobility during recovery due to delayed rehabilitation.
Persistent shoulder pain
Continuing shoulder pain may appear if the labral injury remains untreated.
Further shoulder joint damage
Recurrent shoulder instability may cause progressive shoulder joint damage.
Connect with our experts and get the right guidance for your condition.
RECOVERY & OUTCOMES
What Is Recovery Process after Bankart Repair?
RECOVERY & OUTCOMES
What Is Recovery Process after Bankart Repair?
Recovery after Bankart repair surgery is a slow process aimed at shoulder joint protection and its mobility and stability restoration. Recovery time depends on the severity of the injury, associated damage of the shoulder joint, and patient's healing. Rehabilitation allows patients to gradually return to sports and work activities and prevent recurrent shoulder instability.
The process of recovery after Bankart repair surgery includes the following steps:
- Protection using shoulder joint brace
- Gradual range of motion exercises under the doctor’s supervision
- Slow and controlled strengthening of the shoulder joint
- Shoulder joint physiotherapy to restore stability, flexibility, and mobility
- Gradual return to work and sports activities
AFTERCARE
Recovery & Aftercare for Bankart Repair
AFTERCARE
Recovery & Aftercare for Bankart Repair
Successful recovery requires proper shoulder joint protection and rehabilitation program. Proper aftercare helps to restore shoulder joint stability, increase strength, prevent recurrent dislocations, and achieve positive long-term outcome. Follow-up visits allow specialists to monitor the recovery process.
The following aftercare recommendations help in the recovery after Bankart repair:
- Use the prescribed shoulder joint brace according to the recommendation of your specialist.
- Perform physiotherapy exercises regularly.
- Follow the rehabilitation program.
- Avoid physically demanding activities until approved by the specialist.
- Attend scheduled follow-up visits to control the healing and recovery.
FAQ'S
Do You Have Any Question ?
While some first-time Bankart lesions can be healed with physiotherapy and rehabilitation, recurrent shoulder instability and severe labral injuries require surgical repair.
Recovery time varies depending on the severity of the injury, performed surgery, and patient’s healing. Your specialist will create an individualized rehabilitation program and recovery plan.
Return to sport, manual work, and other physically demanding activities depends on shoulder joint healing, improved strength, and completed rehabilitation program. Your surgeon will recommend when it is safe to start these activities.
Bankart repair surgery is a standard orthopedic procedure and is safe when performed by experienced shoulder specialists.
Despite the fact that Bankart repair significantly decreases the chance of recurrent shoulder dislocation, reinjury may still be possible after high-impact trauma or returning to sports early. Following the rehabilitation program and the recommendations of your surgeon may decrease the risk of recurrence.
