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Anterior shoulder dislocation while carrying a frail elder. A dislocated shoulder is a condition in which the head of the humerus is detached from the glenoid fossa. [2] Symptoms include shoulder pain and instability. [2] Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. [1]
While the Latarjet procedure can be used for surgical treatment of most cases of shoulder dislocations or subluxation, it is particularly indicated in cases with bone defects. [4] The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5]
A Bankart repair is an operation for habitual anterior shoulder dislocation. [1] The joint capsule is sewed to the detached glenoid labrum, without duplication of the subscapularis tendon. The procedure is named for the Bankart lesion, a common name for the condition it addresses.
Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation.Normally, closed reduction, in which the relationship of bone and joint is manipulated externally without surgical intervention, is used.
Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. It is designed for true anterior/subcoracoid glenohumeral dislocations in patients who can fully adduct their humerus. [2]
Bankart described the pathology and surgical repair of recurrent shoulder dislocation in 1923, [4] and again in 1938. [5] Although this procedure was described by Perthes in 1906, [6] Bankart is credited with popularizing the technique. [3] Thus the terms Bankart lesion and Bankart Operation remain in use.