Labral (Bankart) Repair for Instability
SSpecialist Orthopaedic Shoulder Surgeons in Adeliade
Bankart tears can be repaired via surgical intervention. The orthopaedic surgeons at Adelaide Shoulder & Upper Limb Clinic are able to provide this procedure using a minimally-invasive arthroscopic approach.
Bankart Lesions
What is a Bankart lesion?
A Bankart lesion is a type of labral tear which occurs in the lower/front region of the labrum – the ring of cartilage which surrounds the shoulder socket. If left unrepaired, the patient will likely experience future pain and dislocation (chronic shoulder instability).
What causes Bankart lesions?
Bankart lesions may occur following an anterior shoulder dislocation (when the shoulder is pushed backward and out of its natural position). As this is the most common type of shoulder dislocation, Bankart lesions are a relatively common injury.
Anterior shoulder dislocation may be caused by traumatic impact which pushes the shoulder backwards, such as blows from sport or a car accident. It may also result from a fall to an outstretched arm. Overuse can gradually weaken the ligaments which hold the joint in place, making it susceptible to instability and dislocation.
Bankart lesion symptoms
Symptoms of bony Bankart lesions include:
- Shoulder pain
- Limited range of motion in the shoulder
- Shoulder joint instability and weakness
Bankart Lesion Management & Treatment
Bankart lesion management
Bankart lesions will often heal on their own, although they may not heal in the right position without intervention. Many cases will require surgery to attach the torn labrum to the shoulder socket, particularly in younger patients who intend to remain active.
Conservative management
In the conservative management of Bankart lesions, emphasis is placed on strengthening the joint’s dynamic stabilisers to prevent recurring injury. This may be achieved through physiotherapy and specialised exercises.
Following the initial relocation of the joint and immobilisation for several weeks, specialised exercises will be recommended to target and strengthen the shoulder muscles. The shoulder surgeons at Adelaide Shoulder & Upper Limb Clinic can provide recommendations for non-surgical approaches and refer to experienced physiotherapists for ongoing care.
Arthroscopic Bankart lesion surgical repair
Bankart tears are typically repaired via shoulder arthroscopy. The specialists at Adelaide Shoulder & Upper Limb Clinic generally performs this procedure via arthroscopy.
Arthroscopic Bankart lesion repair takes place under general anaesthetic. The surgeon inserts a tiny camera through a small incision in the joint, which allows him to fully inspect the area before applying corrective measures.
Small, specialised instruments are then inserted through another incision, allowing your surgeon to repair the damage at the exact site of the injury. Tears in the cartilage are repaired with tiny sutures, and damaged tissue is removed.
The tools are removed from the surgical site, the small access incisions are stitched closed, and dressings are applied to the wounds.
Recovery
Recovery from arthoscopic Bankart lesion repair
You will generally be required to wear a sling for the subsequent 4-6 weeks post-procedure. This allows the Bankart lesion tear to heal with minimal disruption. Following this rest period, you may begin to resume normal activities under guidance from your surgeon.
Your own recovery process will be highly dependent on your individual health and needs. Your surgeon will also prescribe an individualised rehabilitation plan to improve shoulder strength and range of motion following your Bankart lesion repair.
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