Arthroscopic Repair of a Posterior Bony Bankart Lesion

Kirsten L. Poehling-Monaghan, Aaron J. Krych, Diane L. Dahm

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Posterior bony defects of the glenoid rim, particularly those associated with instability, are often a frustrating challenge for arthroscopists because of the defects' inaccessibility from standard portals. This challenge is enhanced when the lesion is chronic and fibrous malunion of the fragment makes mobilization difficult. We present our technique for arthroscopic repair of the relatively uncommon chronic posterior bony Bankart lesion. By use of lateral positioning and a standard anterior viewing portal and posterior working portal, as well as a strategically placed posterolateral accessory portal, the lesion is first freed from its malreduced position and ultimately repaired using suture anchor fixation of the bony fragment along with its associated labrum directly to the remaining glenoid rim. This technique, facilitated by precise portal placement, results in satisfactory fragment reduction, appropriate capsular tension, and restoration of anatomy.

Original languageEnglish (US)
Pages (from-to)e669-e673
JournalArthroscopy Techniques
Volume4
Issue number6
DOIs
StatePublished - Dec 1 2015

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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