Bankart Repair

What is a Bankart repair?

A Bankart repair is done to treat anterior shoulder instability. The shoulder joint connects the humerus (upper arm bone) and the shoulder blade (scapula). Anterior (towards front) shoulder instability occurs from shoulder labrum and ligament tears, also known as Bankart lesions. This ring of cartilage facilitates normal shoulder movement by increasing the concavity of the shoulder socket for the ball of the humerus to fit in. This is typically done as an arthroscopic surgery that requires a small incision and arthroscope (camera) to minimize muscle loss and damage. In some cases, open surgery may be necessary. After the surgeon makes a small incision, they will repair the labrum tear and capsule ligaments to the glenoid rim to restore normal physiological shoulder movement. The surgeon will determine the appropriate treatment after considering a patient’s age, injury severity, activity levels and overall shoulder joint stability.

Who needs a Bankart repair?

Anterior shoulder instability may be present and remain after anterior shoulder dislocation. Patients report feeling pain and feeling the humerus ball slip out of the shoulder socket as they perform day-to-day tasks, especially in professions and/or sports that demand overhead movement. Anterior shoulder dislocation is more common after the labrum is damaged from a traumatic collision and/or improper technique and loading. It is also the most common direction of shoulder dislocation, seen especially in those playing sports with frequent overhead motion of the arm like in baseball. Less frequently, the shoulder joint can dislocate posteriorly (towards back) when landing on an outstretched hand. Those who did not respond positively to conservative treatments may be Bankart repair surgery candidates.

More about Bankart repairs...

Depending on the patient’s injury severity, the surgeon may opt to perform a Latarjet procedure instead. This surgical procedure considers any bone loss the patient may have experienced after dislocating their shoulder, in the event of a severe Hill-Sachs lesion. The arthroscope may be particularly favoured in patients with further damage in their posterior shoulder region. Shoulder joint dislocations are the most commonly dislocated joints.

Life after Bankart repairs...

More information coming soon!