Bankart Lesion Repair

Shoulder instability and dislocation can occur when the shoulder’s capsule is stretched and torn or when the labrum, the cartilage surrounding the ball and socket joint of the shoulder, detaches from the glenoid. When the shoulder pops out of joint and dislocates often, it can tear the glenohumeral ligament (GHL) in the shoulder. This injury is called a Bankart lesion.

A Bankart lesion repair is a surgical procedure used to treat the tear in the anterior-inferior labrum. This tear can also involve a piece of bone from the glenoid which is called a Bony Bankart. The surgery is performed arthroscopically, which is minimally invasive and uses a thin camera and instruments through very small incisions.

Benefits

Undergoing a Bankart lesion repair allows you to get relief from symptoms. The pain associated with a Bankart lesion can interfere with everything from sleep to your daily activities. The procedure improves shoulder stability, restoring function so that you can get back to your regular activities.

Arthroscopic Bankart lesion repair offers a minimally invasive option with very little scarring and post-surgical pain due to the small incisions used.

Procedure

Before your arthroscopic Bankart lesion repair, you will be given a general anesthetic so that you are asleep and unable to feel anything during the surgery. The surgeon will make a very small incision and insert the arthroscope into the shoulder. The arthroscope is a thin, flexible tube with a lighted camera at the end. The surgeon will be able to view the procedure on a monitor. Other small incisions will be made so that the surgeon can insert small instruments to repair the torn tendon and ligaments. Once complete, a stich will close each incision and be covered by sterile dressing.

After the surgery, the arm will then be placed in a sling to restrict movement of the arm and shoulder to allow the shoulder to heal.

Conditions/Symptoms Treated

A Bankart lesion repair is used to repair shoulder instability by repairing the labrum and ligaments that have torn away from the glenoid socket.

The procedure is able to treat a variety of symptoms associated with a Bankart lesion, including:

  • Shoulder pain
  • Limited movement
  • The feeling of the shoulder popping out of place

 

Preparation

Prior to your surgery, you might be asked to follow certain guidelines to ensure safety during the procedure. These may include the following:

  • Avoid certain medications and supplements. Many medications, like Tylenol and Ibuprofen, can increase the risk of bleeding during and after the surgery. Other medicines and supplements, like birth control, can increase your chance of blood clots. Your surgeon may advise you to discontinue taking these medications for a specific amount of time before your surgery
  • Consult with your physician. You should discuss any medications or illnesses with your physician prior to surgery.
  • Do not eat or drink 6 to 12 hours prior to surgery. Your physician will inform you of the exact time span you will need to fast before your Bankart lesion repair.
  • Arrange a ride home from the airport.  At ARO, we take care of your transportation throughout your visit to our base surgical center, including your transport to and from the airport. Our goal is to minimize the amount of things you have to think about during your stay with us, making this process as easy for you as possible. You should arrange for a ride from the airport once you arrive home.

You will be given preparation instructions ahead of your procedure by our skilled physicians and surgeons. Be sure to follow the instructions to avoid having to postpone your surgery to a later date.

Recovery

You will be moved to a recovery room and monitored for up to two hours. You will experience some pain and discomfort from the procedure, which will be controlled using pain medication.

Your surgeon will tell you how long to wear the sling and which movements to avoid. A follow-up appointment to see how you’re healing and remove stitches will also be arranged for you with your regular primary care physician. Prior to surgery, ARO will help facilitate physical therapy in your city which will help you gradually regain your shoulder strength and function.

Although full recovery may take several months, most patients have function, strength and range of motion back after three or four months.