Summary

Bankart lesion consists of a disinsertion of the antero-inferior labrum and the IGH Ligament associated with a rupture of the periosteum. This is an anterior lesion with extension towards the MGH ligament continuing to the limit of the upper edge of the IGH ligament

Abstract

During an anterior dislocation of the shoulder, there is a rupture of the ligaments located in the front, the head of
the humerus moves in front of the scapula and comes to block by becoming incarcerated on the edge of the
scapular glenoid, the ligaments generally do not heal and the dislocation may recur.
Bankart lesion consists of a disinsertion of the antero-inferior labrum and the IGH Ligament associated with a
rupture of the periosteum. This is an anterior lesion with extension towards the MGH ligament continuing to the
limit of the upper edge of the IGH ligament

Methods

Our study concerns 3 patients between 25-35 years old with shoulder instability, internal force security officers,
victims of more than one episode of anterior shoulder dislocation of which standard x-rays showed no specific
lesion. It was therefore the Arthroscopic CT Scan which individualized the anomalies of the glenoid pad. The 3
patients were operated under arthroscopy (fixation and suturing of the labrum with repair and fixation of the joint
capsule at the level of its insertion on the scapula) Immobilization with elbow bandage to the body for 1 month
followed by passive and progressive rehabilitation of the glenohumeral joint.

Results

The average follow-up was 2 years, there was no recurrent dislocation
The evaluation was clinical with a normal return to professional activity and sports, a permanently stable shoulder
and fast recovery.

Conclusion

The results of this technic remain nevertheless very encouraging with a stable shoulder but requires a larger study