Anterior shoulder stabilization using the bankart procedure.
The primary pathological lesion in traumatic anterior glenohumeral dislocation and subluxation is avulsion of the anterior shoulder capsule and ligaments from the glenoid rim (Bankart lesion). The Bankart procedure is a method of repairing this lesion: a direct suturing of the avulsed capsule to the bone. A deltopectoral approach is used, and the conjoined tendon is retracted medially. A T-shaped incision is made in the subscapularis tendon and muscles, and a T-shaped capsular incision gives exposure to the anterior glenoid rim and Bankart lesion. The avulsed capsule is repaired to bone with sutures passed through the glenoid rim or with suture anchors.
Zarins
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From the Orthopaedic Surgery Service, and the Sports Medicine Unit, Massachusetts General Hospital, Boston, Massachusetts.