Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0042-1750353
Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento
Article in several languages: español | English![](https://www.thieme-connect.de/media/10.1055-s-00033425/202203/lookinside/thumbnails/10-1055-s-0042-1750353_2100038_es-1.jpg)
Resumen
Las lesiones óseas en el borde anterior del anillo glenoideo secundarias a un episodio de inestabilidad anterior del hombro cada vez son más reportadas. Conocidas como lesión de Bony Bankart, su presencia genera una pérdida de la estabilidad estática glenohumeral que provoca un aumento del riesgo de un nuevo evento de luxación. Por ende, resulta fundamental que los cirujanos ortopédicos comprendan y diagnostiquen estas lesiones de forma correcta y oportuna para evaluar la necesidad de restaurar la superficie articular glenoidea. El objetivo de esta revisión narrativa es otorgar los conceptos más importantes de la lesión ósea de Bankart para comprender y enfrentar de forma adecuada esta lesión.
Nivel de Evidencia V
Palabras claves
lesión de Bankart óseo - fractura del anillo anterior glenoideo - defecto óseo glenoideo - inestabilidad recurrente - luxación de hombroPublication History
Received: 17 October 2021
Accepted: 10 May 2022
Article published online:
28 December 2022
© 2022. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referencias
- 1 Kokubu T, Nagura I, Mifune Y, Kurosaka M. Arthroscopic bony bankart repair using double-threaded headless screw: a case report. Case Rep Orthop 2012; 2012: 789418
- 2 Spiegl UJ, Smith SD, Todd JN, Coatney GA, Wijdicks CA, Millett PJ. Biomechanical Comparison of Arthroscopic Single- and Double-Row Repair Techniques for Acute Bony Bankart Lesions. Am J Sports Med 2014; 42 (08) 1939-1946
- 3 Nolte P-C, Elrick BP, Bernholt DL, Lacheta L, Millett PJ. The Bony Bankart: Clinical and Technical Considerations. Sports Med Arthrosc Rev 2020; 28 (04) 146-152
- 4 Porcellini G, Campi F, Paladini P. Arthroscopic approach to acute bony Bankart lesion. Arthroscopy 2002; 18 (07) 764-769
- 5 Nakagawa S, Mizuno N, Hiramatsu K, Tachibana Y, Mae T. Absorption of the bone fragment in shoulders with bony Bankart lesions caused by recurrent anterior dislocations or subluxations: when does it occur?. Am J Sports Med 2013; 41 (06) 1380-1386
- 6 Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 2000; 16 (07) 677-694
- 7 Sugaya H, Kon Y, Tsuchiya A. Arthroscopic repair of glenoid fractures using suture anchors. Arthroscopy 2005; 21 (05) 635.e1-635.e5
- 8 Nakagawa S, Ozaki R, Take Y, Mae T, Hayashida K. Bone fragment union and remodeling after arthroscopic bony bankart repair for traumatic anterior shoulder instability with a glenoid defect: influence on postoperative recurrence of instability. Am J Sports Med 2015; 43 (06) 1438-1447
- 9 Jiang C-Y, Zhu Y-M, Liu X, Li FL, Lu Y, Wu G. Do reduction and healing of the bony fragment really matter in arthroscopic bony Bankart reconstruction?: a prospective study with clinical and computed tomography evaluations. Am J Sports Med 2013; 41 (11) 2617-2623
- 10 Scheibel M, Magosch P, Lichtenberg S, Habermeyer P. Open reconstruction of anterior glenoid rim fractures. Knee Surg Sports Traumatol Arthrosc 2004; 12 (06) 568-573
- 11 Shaha JS, Cook JB, Song DJ. et al. Redefining “Critical” Bone Loss in Shoulder Instability: Functional Outcomes Worsen With “Subcritical” Bone Loss. Am J Sports Med 2015; 43 (07) 1719-1725
- 12 Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 2003; 85 (05) 878-884
- 13 Nakagawa S, Mae T, Yoneda K, Kinugasa K, Nakamura H. Influence of Glenoid Defect Size and Bone Fragment Size on the Clinical Outcome After Arthroscopic Bankart Repair in Male Collision/Contact Athletes. Am J Sports Med 2017; 45 (09) 1967-1974
- 14 Dickens JF, Owens BD, Cameron KL. et al. The Effect of Subcritical Bone Loss and Exposure on Recurrent Instability After Arthroscopic Bankart Repair in Intercollegiate American Football. Am J Sports Med 2017; 45 (08) 1769-1775
- 15 Olds M, Ellis R, Donaldson K, Parmar P, Kersten P. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med 2015; 49 (14) 913-922
- 16 Porcellini G, Paladini P, Campi F, Paganelli M. Long-term outcome of acute versus chronic bony Bankart lesions managed arthroscopically. Am J Sports Med 2007; 35 (12) 2067-2072
- 17 Wasserstein DN, Sheth U, Colbenson K. et al. The True Recurrence Rate and Factors Predicting Recurrent Instability After Nonsurgical Management of Traumatic Primary Anterior Shoulder Dislocation: A Systematic Review. Arthroscopy 2016; 32 (12) 2616-2625
- 18 Nakagawa S, Hanai H, Mae T, Hayashida K, Yoneda M. Bipolar Bone Loss in Male Athletes With Traumatic Anterior Shoulder Instability: An Evaluation Using a New Scoring System. Orthop J Sports Med 2018; 6 (07) 2325967118782420
- 19 Scheibel M, Hug K, Gerhardt C, Krueger D. Arthroscopic reduction and fixation of large solitary and multifragmented anterior glenoid rim fractures. J Shoulder Elbow Surg 2016; 25 (05) 781-790
- 20 Spiegl UJA, Ryf C, Hepp P, Rillmann P. Evaluation of a treatment algorithm for acute traumatic osseous Bankart lesions resulting from first time dislocation of the shoulder with a two year follow-up,. BMC Musculoskeletal Disorders 2013; 14: 305 DOI: 10.1186/1471-2474-14-305.
- 21 Park I, Lee J-H, Hyun H-S, Oh M-J, Shin S-J. Effects of Bone Incorporation After Arthroscopic Stabilization Surgery for Bony Bankart Lesion Based on Preoperative Glenoid Defect Size. Am J Sports Med 2018; 46 (09) 2177-2184 DOI: 10.1177/0363546518773317.
- 22 Salomonsson B, von Heine A, Dahlborn M. et al. Bony Bankart is a positive predictive factor after primary shoulder dislocation. Knee Surg Sports Traumatol Arthrosc 2010; 18 (10) 1425-1431
- 23 Vermeiren J, Handelberg F, Casteleyn PP, Opdecam P. The rate of recurrence of traumatic anterior dislocation of the shoulder. A study of 154 cases and a review of the literature. Int Orthop 1993; 17 (06) 337-341
- 24 Maquieira GJ, Espinosa N, Gerber C, Eid K. Non-operative treatment of large anterior glenoid rim fractures after traumatic anterior dislocation of the shoulder. J Bone Joint Surg Br 2007; 89 (10) 1347-1351
- 25 Spiegl UJA, Ryf C, Hepp P, Rillmann P. Evaluation of a treatment algorithm for acute traumatic osseous Bankart lesions resulting from first time dislocation of the shoulder with a two year follow-up. BMC Musculoskelet Disord 2013; 14: 305
- 26 Wieser K, Waltenspül M, Ernstbrunner L. et al. Nonoperative Treatment of Anterior Glenoid Rim Fractures After First-Time Traumatic Anterior Shoulder Dislocation: A Study with 9-Year Follow-up. JBJS Open Access 2020; 5 (04) e20.00133
- 27 Taverna E, D'Ambrosi R, Perfetti C, Garavaglia G. Arthroscopic bone graft procedure for anterior inferior glenohumeral instability. Arthrosc Tech 2014; 3 (06) e653-e660
- 28 Taverna E, Garavaglia G, Perfetti C, Ufenast H, Sconfienza LM, Guarrella V. An arthroscopic bone block procedure is effective in restoring stability, allowing return to sports in cases of glenohumeral instability with glenoid bone deficiency. Knee Surg Sports Traumatol Arthrosc 2018; 26 (12) 3780-3787
- 29 Hassebrock JD, Starkweather JR, Tokish JM. Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability. Arthrosc Tech 2019; 9 (01) e97-e102
- 30 Moroder P, Schulz E, Wierer G. et al. Neer Award 2019: Latarjet procedure vs. iliac crest bone graft transfer for treatment of anterior shoulder instability with glenoid bone loss: a prospective randomized trial. J Shoulder Elbow Surg 2019; 28 (07) 1298-1307
- 31 Fujii Y, Yoneda M, Wakitani S, Hayashida K. Histologic analysis of bony Bankart lesions in recurrent anterior instability of the shoulder. J Shoulder Elbow Surg 2006; 15 (02) 218-223
- 32 Millett PJ, Braun S. The “bony Bankart bridge” procedure: a new arthroscopic technique for reduction and internal fixation of a bony Bankart lesion. Arthroscopy 2009; 25 (01) 102-105
- 33 Marion B, Klouche S, Deranlot J, Bauer T, Nourissat G, Hardy P. A Prospective Comparative Study of Arthroscopic Versus Mini-Open Latarjet Procedure With a Minimum 2-Year Follow-up. Arthroscopy 2017; 33 (02) 269-277
- 34 Boileau P, Saliken D, Gendre P. et al. Arthroscopic Latarjet: Suture-Button Fixation Is a Safe and Reliable Alternative to Screw Fixation. Arthroscopy 2019; 35 (04) 1050-1061
- 35 Malahias M-A, Fandridis E, Chytas D, Chronopulos E, Brilakis E, Antonogiannakis E. Arthroscopic versus open Latarjet: a step-by-step comprehensive and systematic review. Eur J Orthop Surg Traumatol 2019; 29 (05) 957-966
- 36 Cerciello S, Corona K, Morris BJ, Santagada DA, Maccauro G. Early Outcomes and Perioperative Complications of the Arthroscopic Latarjet Procedure: Systematic Review and Meta-analysis. Am J Sports Med 2019; 47 (09) 2232-2241
- 37 Randelli P, Fossati C, Stoppani C, Evola FR, De Girolamo L. Open Latarjet versus arthroscopic Latarjet: clinical results and cost analysis. Knee Surg Sports Traumatol Arthrosc 2016; 24 (02) 526-532
- 38 Hurley ET, Lim Fat D, Farrington SK, Mullett H. Open Versus Arthroscopic Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Am J Sports Med 2019; 47 (05) 1248-1253
- 39 Kalogrianitis S, Tsouparopoulos V. Arthroscopic Iliac Crest Bone Block for Reconstruction of the Glenoid: A Fixation Technique Using an Adjustable-Length Loop Cortical Suspensory Fixation Device. Arthrosc Tech 2016; 5 (06) e1197-e1202
- 40 Boehm E, Minkus M, Moroder P, Scheibel M. Arthroscopic iliac crest bone grafting in recurrent anterior shoulder instability: minimum 5-year clinical and radiologic follow-up. Knee Surg Sports Traumatol Arthrosc 2021; 29 (01) 266-274
- 41 Hachem A-I, Del Carmen M, Verdalet I, Rius J. Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants. Arthrosc Tech 2019; 8 (12) e1591-e1597
- 42 Ueda Y, Sugaya H, Takahashi N. et al. Arthroscopic Iliac Bone Grafting for Traumatic Anterior Shoulder Instability With Significant Glenoid Bone Loss Yields Low Recurrence and Good Outcome at a Minimum of Five-Year Follow-Up. Arthroscopy 2021; 37 (08) 2399-2408
- 43 Avramidis G, Kokkineli S, Trellopoulos A. et al. Excellent Clinical and Radiological Midterm Outcomes for the Management of Recurrent Anterior Shoulder Instability by All-Arthroscopic Modified Eden-Hybinette Procedure Using Iliac Crest Autograft and Double-Pair Button Fixation System: 3-Year Clinical Case Series With No Loss to Follow-Up. Arthroscopy 2021; 37 (03) 795-803
- 44 Kim Y-K, Cho S-H, Son W-S, Moon SH. Arthroscopic repair of small and medium-sized bony Bankart lesions. Am J Sports Med 2014; 42 (01) 86-94
- 45 Godin JA, Altintas B, Horan MP. et al. Midterm Results of the Bony Bankart Bridge Technique for the Treatment of Bony Bankart Lesions. Am J Sports Med 2019; 47 (01) 158-164
- 46 Giles JW, Puskas GJ, Welsh MF, Johnson JA, Athwal GS. Suture anchor fixation of bony Bankart fractures: comparison of single-point with double-point “suture bridge” technique. Am J Sports Med 2013; 41 (11) 2624-2631
- 47 Clavert P, Aim F, Bonnevialle N, Arboucalot M, Ehlinger M, Bauer T. SOFCOT. Biomechanical properties of transosseous bony Bankart repair in a cadaver model. Orthop Traumatol Surg Res 2019; 105 (02) 271-274
- 48 Park I, Lee J-H, Hyun H-S, Oh MJ, Shin SJ. Effects of Bone Incorporation After Arthroscopic Stabilization Surgery for Bony Bankart Lesion Based on Preoperative Glenoid Defect Size. Am J Sports Med 2018; 46 (09) 2177-2184
- 49 Plath JE, Feucht MJ, Bangoj R. et al. Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions: Clinical Outcome, Magnetic Resonance Imaging Results, and Return to Sports. Arthroscopy 2015; 31 (08) 1472-1481
- 50 Shah N, Nadiri MN, Torrance E, Funk L. Arthroscopic repair of bony Bankart lesions in collision athletes. Shoulder Elbow 2018; 10 (03) 201-206
- 51 Morash K, Ravipati APT, Wong IH-B. Arthroscopic, Nonrigid Fixation of a Displaced Glenoid Fracture After Anterior Shoulder Dislocation. Arthrosc Tech 2020; 9 (02) e233-e237
- 52 Cañete San Pastor P. Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons. Arthrosc Tech 2020; 9 (09) e1349-e1355
- 53 Wafaisade A, Pfeiffer TR, Balke M, Guenther D, Koenen P. Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture. Arthrosc Tech 2019; 8 (11) e1319-e1326
- 54 Avramidis G, Brilakis E, Deligeorgis A, Antonogiannakis E. All-Arthroscopic Treatment of Glenoid Rim Fractures. Arthrosc Tech 2019; 8 (10) e1121-e1124
- 55 Cameron SE. Arthroscopic reduction and internal fixation of an anterior glenoid fracture. Arthroscopy 1998; 14 (07) 743-746
- 56 Tauber M, Moursy M, Eppel M, Koller H, Resch H. Arthroscopic screw fixation of large anterior glenoid fractures. Knee Surg Sports Traumatol Arthrosc 2008; 16 (03) 326-332