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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.
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. The Hill-Sachs lesion may be old, since the patient had ...
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 ...
It is an indication for surgery and often accompanied by a Hill-Sachs lesion, damage to the posterior humeral head. [5] A bony Bankart is a Bankart lesion that includes a fracture of the anterior-inferior glenoid cavity of the scapula bone. [6] The Bankart lesion is named after English orthopedic surgeon Arthur Sydney Blundell Bankart (1879 ...
Hill–Sachs fracture: Harold Arthur Hill Maurice David Sachs: impacted posterior humeral head fracture occurring during anterior shoulder dislocation: Hill Sachs Lesion at Wheeless' Textbook of Orthopaedics online Holstein–Lewis fracture: Arthur Holstein Gwylim Lewis: fracture of the distal third of the humerus resulting in entrapment of the ...
Recurrent anterior shoulder dislocations have a higher rate of labrum tears (Bankart lesion) and humerus fractures/dents (Hill-Sachs lesion) compared to initial dislocations. [42] Shoulder dislocations account for 45% of all dislocation visits to the emergency room. [4] Elbow
The mechanism of action has been described as a triple blocking effect: conjoint tendon of shoulder i.e short head of the biceps and coracobrachialis, acting as a sling on the subscapularis and capsule with the arm abducted and externally rotated;
There is no singularly imaging device or technique for a satisfying and complete subscapularis examination, but rather the combination of the sagittal oblique MRI / short-axis US and axial MRI / long-axis US planes seems to generate useful results. Additionally, lesser tuberosity bony changes have been associated with subscapularis tendon tears.