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October 13, 2008  
EDUCATION CENTER: Clinical Overview

Clinical Overview
Definition
Symptoms Take Action Diagnosis and Treatment

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  • Bankart Lesion (Labral Tear)

    Clinical Overview
    Reviewed by Dr. Ilya Voloshin, Chief Shoulder and Elbow Division, University of Rochester

    (Otherwise known as a Labral Tear)

    The shoulder is a ball and socket joint. The head of the upper arm bone, or humerus, fits into the shallow cup of the shoulder blade, or glenoid. A rim of soft tissue called the labrum surrounds the glenoid and contributes to the stability of the shoulder. A tear to the labrum called a Bankart lesion usually results when the head of the humerus is forced forward out of the glenoid either fully, as in dislocation, or partially, as in subluxation.

    Causes
    Usually, injury to the shoulder after a fall on an outstretched hand or collision impact when the arm is in an externally rotated position can cause a Bankart lesion. Rarely, Bankart lesion is present in a loose shoulder with no history of trauma.

    Risk Factors
    Frequent subluxation or acute dislocations of the humerus from the shoulder joint in the forward direction pose the greatest risks for a Bankart lesion.

    Last updated: Dec-06-07

    Comments

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  • Thursday, Jan 31 2008 13:41 EST by jody2008

    When defining a Bankart Lesion it is often described as a" tear or avulsion of the anteroinferior glenohumeral labrum accompanying detachment of the IGHL. I wonder if it could also be expanded to include stretching of the IGHL as I do not know that detachment is required for avulsion to occur. Thus a new definition could state: an avulstion of the anteroinferior glenohumeral labrum accompanying stretching or detachment of the IGHL.
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