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Question:
I have a shoulder that has been dislocated 7-8 times, both the humerus and the Glenoid cavity bones that form the socket show signs of detioration due to the rubbing together or these 2 bones. I met with an Orthoscopic Surgeon, and his reccomendation for this ReCurrent Dislocation is a Bankhart Anchor? Can you tell me more about this, or direct me to some links to further investigate this procedure.
Question submitted by:
VZE263N5@VERIZION.NET
| Dr. Warner |
Jon J.P. Warner, M.D. is Associate Professor of the Harvard Combined Orthopaedic Surgery Department and Chief of the Harvard Shoulder Service. He is the author of over 60 peer review publications, more than 150 book chapters, and 4 books. He is Board Certified in Orthopaedic Surgery and is a member of numerous specialty societies including the Orthopaedic Research Society and the American Orthopaedic Society. His practice is principally devoted to the treatment of problems of the shoulder and elbow.
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Answer:
Actually, this Web site should have detailed information on shoulder instability and surgery to fix it. Basically, the shoulder is held together by ligaments and tendons. The ligaments are like a hammock. The ligaments connects to the bones of the glenoid (socket) and edge of the humerus (ball), the same way that a hammock connects to two trees. The ball is suspended in the hammock. As the arm is brought over the head the hammock of the ligaments tighten and hold the ball in the socket. When the shoulder dislocates the hammock can either pull off of the bone, stretch, or both. When it pulls off of the edge of the socket (glenoid) it is like the hammock pulling off of it's attachment on a tree. This is the most common form of ligament injury with a dislocation and it is called a Bankart lesion. This is named for the British surgeon who described this injury in the early 1900's. The surgery to repair this is performed either arthroscopically or by an open incision. In either case, it involves fixing the ligament back to the bone to restore tension in it. This is similar to pulling the hammock back up to the tree and fixing it there. Usually metal, plastic, or absorbable anchors are used with sutures placed through the ligament. This holds it in place while it heals.
