Bankart lesion is a tear of the rim below the middle of the glenoid socket that also involves the inferior glenohumeral ligament. This injury is caused by repeated anterior shoulder dislocations. The dislocation of the shoulder joint can damage the connective tissue ring around the glenoid labrum.
SLAP lesion (Superior Labrum, Anterior to Posterior) is a tear of the rim above the middle of the socket that may also involve the biceps tendon.
Acute Bankart / SLAP tears happen when you fall down on your outstretched hand, a direct blow to the shoulder, sudden pull while lifting heavy object and violent overhead reach, such as when trying to stop a fall or slide.
Bankart / SLAP tears due to repetitive shoulder motion is common in athletes that practice volleyball, tennis, handball, throwing athletes, weightlifters and people who do overhead activities.
Common symptoms of Bankart / SLAP tears include:
There are various options depending on the type of tear, your age, activity level and requirements. Options will be discussed with you
Nonsurgical Treatment: When the Bankart / SLAP tear is small nonsurgical options are advised.
Options may include,
Arthroscopic repair of Bankart / SLAP lesion with suture anchors,
For Surgical advices Contact Best Orthopedic in Jayanagar Bangalore
Surgical treatment is indicated when,
Usually done under the combined brachial block and general anesthesia. The surgeon makes two small key holes in the shoulder to insert an arthroscope into the joint. At first complete visualization of the shoulder joint done to assess the structures. The torn Bankart / SLAP tear is reattached to the glenoid rim using suture anchors. The entire surgery performed through a minimally-invasive arthroscopic procedure and all inside technique.
Many Bankart / SLAP repairs are done on day-care basis and do not require you to stay overnight in the hospital.
You will be advised simple shoulder exercises immediate post-surgery and shoulder immobilizer for 3 weeks followed by shoulder exercises as per the protocol. You can return to all normal activities and sports in 3 months
If you have a Bankart / SLAP tear and you keep using it despite increasing pain, you may cause further damage. The shoulder muscles may become weak and eventually leads to recurrent shoulder dislocations.