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Both before and after reduction, with lesions labeled. Vector (.svg) version is available. The bony Bankart lesion is new, as evidenced by lack of cortex on the superior part of the fragment, and is presumed to be caused by glenohumeral ligaments pulling the humerus towards the glenoid as the shoulder dislocates, causing a fracture even without significant external forces.
MRI of shoulder after dislocation with Hill-Sachs lesion and labral Bankart's lesion. In young adults engaged in highly demanding activities shoulder surgery may be considered. [25] Arthroscopic surgery techniques may be used to repair the glenoidal labrum, capsular ligaments, biceps long head anchor or SLAP lesion or to tighten the shoulder ...
The light bulb sign is best observed on an AP radiograph of the shoulder. [5] Key features include: Rounded humeral head: The humeral head appears symmetrically rounded, resembling a light bulb due to internal rotation. Loss of normal glenohumeral overlap: The humeral head is posteriorly displaced, disrupting the alignment with the glenoid cavity.
Just as movies, TV, and web videos are to a substantive extent no longer separate technologies, but only variations on common underlying digital themes, so, too, are the X-ray imaging modes, and indeed, the term "X-ray imaging" is the ultimate hypernym that unites all of them, even subsuming both fluoroscopy and four-dimensional CT (4DCT ...
X-ray at right shows same shoulder after reduction and internal rotation, revealing both a Bankart lesion and a Hill-Sachs lesion. Diagnosis can be suspected by history and physical examination which is usually followed by imaging. Because of the mechanism of injury, apprehension of anterior dislocation is common with provocative maneuvers.
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A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior (inferior) glenoid labrum of the shoulder. [ 4 ] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
The Cunningham technique was originally published in 2003 and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. [7] If performed correctly most patients do not require analgesia for the performance of this technique.