Bankart Lesion

Description

Antero-inferior detachment of the glenoid labrum, commonly (85-97%) associated with first-time traumatic anterior shoulder dislocations.

Bankart lesion is often associated with the Hill-Sachs lesion due to their common mechanism of injury. Bankart Lesion may involve the labrum only (“soft Bankart“), or involve the glenoid bone itself (“bony Bankart”).

  • The soft tissue Bankart lesion involves injury to the anterior or anteroinferior glenoid labrum, the fibrocartilagenous structure that surrounds and deepens the bony glenoid.
  • An osseous or bony Bankart lesion (a, b) is a fracture of the anterior-inferior glenoid cortical rim on which the labrum rests
  • Like the Hill-Sachs lesion, a Bankart lesion may result in anterior shoulder joint instability and recurrent dislocations.

Bankart bony lesion XR
Bankart bony lesion on XR
Bony-Bankhart-lesion
Bony Bankart lesion: (a) irregularity of inferior glenoid rim (arrow); (b) double contour of inferior margin of glenoid (arrowheads).

History

1890Broca and Hartmann gave a good description of the lesion, but their work was neglected. [5, serie IV, 312-336. June 1890]

1906Perthes recognised that the inferior glenoid fracture with detachment of the labrum caused instability of the shoulder and emphasized reattachment of the labrum to stabilize the joint [1906;85: 199-227]

1923 – It is largely due to Bankart’s emphasis that the defect has become widely known [Br Med J 1923; 2: 1132-3].


Associated Persons

Alternative names
  • Bankart fracture

References

eponymictionary CTA

eponym

the person behind the name

Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM with a passion for rugby; medical history; medical education; and informatics. Asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | vocortex |

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