Abstract
Arthroscopic treatment of bony Bankart lesions can be challenging. We present a new
easy and reproducible technique for arthroscopic reduction and suture anchor fixation
of bony Bankart fragments. A suture anchor is placed medially to the fracture on the
glenoid neck, and its sutures are passed around the bony fragment through the soft
tissue including the inferior glenohumeral ligament complex. The sutures of this anchor
are loaded in a second anchor that is placed on the glenoid face. This creates a nontilting
2-point fixation that compresses the fragment into its bed. By use of the standard
technique, additional suture anchors are used superiorly and inferiorly to the bony
Bankart piece to repair the labrum and shift the joint capsule. We call this the “bony
Bankart bridge” procedure.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder.Am J Sports Med. 1998; 26: 41-45
- Recurrent or habitual dislocation of the shoulder-joint.Clin Orthop Relat Res. 1993; : 3-6
- Long-term outcome of acute versus chronic bony Bankart lesions managed arthroscopically.Am J Sports Med. 2007; 35: 2067-2072
- Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability.Arthroscopy. 2008; 24: 376-382
- Anterior shoulder dislocation: Quantification of glenoid bone loss with CT.AJR Am J Roentgenol. 2003; 180: 1423-1430
- Arthroscopic approach to acute bony Bankart lesion.Arthroscopy. 2002; 18: 764-769
- Arthroscopic repair of glenoid fractures using suture anchors.Arthroscopy. 2005; 21 (Available online at www.arthroscopyjournal.org): 635.e1-635.e5
- Arthroscopic reduction and internal fixation of an anterior glenoid fracture.Arthroscopy. 1998; 14: 743-746
- Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures.Arthroscopy. 2007; 23 (Available online at www.arthroscopyjournal.org): 1133.e1-1133.e4
- Arthroscopic fixation for displaced greater tuberosity fracture using the suture-bridge technique.Arthroscopy. 2008; 24 (Available online at www.arthroscopyjournal.org): 120.e1-120.e3
- Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures.Arthroscopy. 2008; 24: 956-960
- The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability.Arthroscopy. 2007; 23 (Available online at www.arthroscopyjournal.org): 1242.e1-1242.e5
- Technic of coracoid preglenoid arthroereisis in the treatment of recurrent dislocation of the shoulder.Lyon Chir. 1958; 54 (in French): 604-607
- Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft.Am J Sports Med. 2006; 34: 205-212
- Open operative treatment for anterior shoulder instability: When and why?.J Bone Joint Surg Am. 2005; 87: 419-432
Article info
Publication history
Published online: September 16, 2008
Footnotes
S.B. is currently a research fellow sponsored by Arthrex, Naples, Florida. P.J.M. has financial interests in Arthrex. There was no financial support for this study.
Identification
Copyright
© 2009 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
