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Bankart Lesion and Its Variants
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Abbreviations

            • Anterior labral periosteal sleeve avulsion (ALPSA)
            • Coracohumeral ligament (CHL)
            • Humeral avulsion of inferior glenohumeral ligament (HAGL)
              • By convention, term refers to anterior band of inferior glenohumeral ligament
            • Inferior glenohumeral ligament (IGHL)
            • Middle glenohumeral ligament (MGHL)
            • Reverse HAGL (RHAGL), avulsion of posterior band of inferior glenohumeral ligament
            • Superior glenohumeral ligament (SGHL)
            • Glenolabral articular disruption (GLAD)
            • Superior labrum tear from anterior to posterior (SLAP)
              • By definition involves biceps anchor
              • May propagate to involve anterior &/or posterior labrum
          • Definitions

            • Injury to anterior labrum & anterior glenohumeral ligaments
            • Multiple different patterns of injury distinguished

          IMAGING

          • General Features

            • Imaging Recommendations

              • MR Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Image Interpretation Pearls

                              Selected References

                              1. Mannem R et al: Glenoid avulsion of the glenohumeral ligament (GAGL): a case report and review of the anatomy. Skeletal Radiol. 45(10):1443-8, 2016
                              2. Omoumi P et al: Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. Eur Radiol. 25(4):961-9, 2015
                              3. Waldt S et al: Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology. 237(2):578-83, 2005
                              4. Bui-Mansfield LT et al: Humeral avulsions of the glenohumeral ligament: imaging features and a review of the literature. AJR Am J Roentgenol. 179(3):649-55, 2002
                              5. Burkart AC et al: Anatomy and function of the glenohumeral ligaments in anterior shoulder instability. Clin Orthop Relat Res. (400):32-9, 2002
                              6. Wischer TK et al: Perthes lesion (a variant of the Bankart lesion): MR imaging and MR arthrographic findings with surgical correlation. AJR Am J Roentgenol. 178(1):233-7, 2002
                              7. Savoie FH 3rd et al: Straight anterior instability: Lesions of the middle glenohumeral ligament. Arthroscopy. 17(3):229-235, 2001
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Pathology

                                      TERMINOLOGY

                                      • Abbreviations

                                        • Anterior labral periosteal sleeve avulsion (ALPSA)
                                        • Coracohumeral ligament (CHL)
                                        • Humeral avulsion of inferior glenohumeral ligament (HAGL)
                                          • By convention, term refers to anterior band of inferior glenohumeral ligament
                                        • Inferior glenohumeral ligament (IGHL)
                                        • Middle glenohumeral ligament (MGHL)
                                        • Reverse HAGL (RHAGL), avulsion of posterior band of inferior glenohumeral ligament
                                        • Superior glenohumeral ligament (SGHL)
                                        • Glenolabral articular disruption (GLAD)
                                        • Superior labrum tear from anterior to posterior (SLAP)
                                          • By definition involves biceps anchor
                                          • May propagate to involve anterior &/or posterior labrum
                                      • Definitions

                                        • Injury to anterior labrum & anterior glenohumeral ligaments
                                        • Multiple different patterns of injury distinguished

                                      IMAGING

                                      • General Features

                                        • Imaging Recommendations

                                          • MR Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Natural History & Prognosis

                                                      • Treatment

                                                        DIAGNOSTIC CHECKLIST

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Mannem R et al: Glenoid avulsion of the glenohumeral ligament (GAGL): a case report and review of the anatomy. Skeletal Radiol. 45(10):1443-8, 2016
                                                          2. Omoumi P et al: Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. Eur Radiol. 25(4):961-9, 2015
                                                          3. Waldt S et al: Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology. 237(2):578-83, 2005
                                                          4. Bui-Mansfield LT et al: Humeral avulsions of the glenohumeral ligament: imaging features and a review of the literature. AJR Am J Roentgenol. 179(3):649-55, 2002
                                                          5. Burkart AC et al: Anatomy and function of the glenohumeral ligaments in anterior shoulder instability. Clin Orthop Relat Res. (400):32-9, 2002
                                                          6. Wischer TK et al: Perthes lesion (a variant of the Bankart lesion): MR imaging and MR arthrographic findings with surgical correlation. AJR Am J Roentgenol. 178(1):233-7, 2002
                                                          7. Savoie FH 3rd et al: Straight anterior instability: Lesions of the middle glenohumeral ligament. Arthroscopy. 17(3):229-235, 2001