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Bankart Variation Lesions
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Partial Bankart labral tear or lesion
            • Perthes lesion
            • Also: Anterior labrum periosteal sleeve avulsion (ALPSA) lesion & glenoid labrum articular disruption (GLAD) lesions are Bankart variation lesions
          • Definitions

            • Anteroinferior labral tear without complete detachment (as is seen in true Bankart lesion)

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. Clavert P: Glenoid labrum pathology. Orthop Traumatol Surg Res. 101(1 Suppl):S19-24, 2015
                                          2. Schreinemachers SA et al: Is a single direct MR arthrography series in ABER position as accurate in detecting anteroinferior labroligamentous lesions as conventional MR arthography? Skeletal Radiol. 38(7):675-83, 2009
                                          3. Song HT et al: The usefulness of virtual MR arthroscopy as an adjunct to conventional MR arthrography in detecting anterior labral lesions of the shoulder. AJR Am J Roentgenol. 192(4):W149-55, 2009
                                          4. Pouliart N et al: Consequences of a Perthes-Bankart lesion in twenty cadaver shoulders. J Shoulder Elbow Surg. 17(6):981-5, 2008
                                          5. Yiannakopoulos CK et al: A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 23(9):985-90, 2007
                                          6. Song HT et al: Anterior-inferior labral lesions of recurrent shoulder dislocation evaluated by MR arthrography in an adduction internal rotation (ADIR) position. J Magn Reson Imaging. 23(1):29-35, 2006
                                          7. Waldt S et al: Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology. 237(2):578-83, 2005
                                          8. 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
                                          9. Cvitanic O et al: Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum. AJR Am J Roentgenol. 169(3):837-44, 1997
                                          10. Suder PA et al: Magnetic resonance imaging evaluation of capsulolabral tears after traumatic primary anterior shoulder dislocation. A prospective comparison with arthroscopy of 25 cases. J Shoulder Elbow Surg. 4(6):419-28, 1995
                                          11. Baker CL et al: Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med. 18(1):25-8, 1990
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Partial Bankart labral tear or lesion
                                                    • Perthes lesion
                                                    • Also: Anterior labrum periosteal sleeve avulsion (ALPSA) lesion & glenoid labrum articular disruption (GLAD) lesions are Bankart variation lesions
                                                  • Definitions

                                                    • Anteroinferior labral tear without complete detachment (as is seen in true Bankart lesion)

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Clavert P: Glenoid labrum pathology. Orthop Traumatol Surg Res. 101(1 Suppl):S19-24, 2015
                                                                                  2. Schreinemachers SA et al: Is a single direct MR arthrography series in ABER position as accurate in detecting anteroinferior labroligamentous lesions as conventional MR arthography? Skeletal Radiol. 38(7):675-83, 2009
                                                                                  3. Song HT et al: The usefulness of virtual MR arthroscopy as an adjunct to conventional MR arthrography in detecting anterior labral lesions of the shoulder. AJR Am J Roentgenol. 192(4):W149-55, 2009
                                                                                  4. Pouliart N et al: Consequences of a Perthes-Bankart lesion in twenty cadaver shoulders. J Shoulder Elbow Surg. 17(6):981-5, 2008
                                                                                  5. Yiannakopoulos CK et al: A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 23(9):985-90, 2007
                                                                                  6. Song HT et al: Anterior-inferior labral lesions of recurrent shoulder dislocation evaluated by MR arthrography in an adduction internal rotation (ADIR) position. J Magn Reson Imaging. 23(1):29-35, 2006
                                                                                  7. Waldt S et al: Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology. 237(2):578-83, 2005
                                                                                  8. 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
                                                                                  9. Cvitanic O et al: Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum. AJR Am J Roentgenol. 169(3):837-44, 1997
                                                                                  10. Suder PA et al: Magnetic resonance imaging evaluation of capsulolabral tears after traumatic primary anterior shoulder dislocation. A prospective comparison with arthroscopy of 25 cases. J Shoulder Elbow Surg. 4(6):419-28, 1995
                                                                                  11. Baker CL et al: Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med. 18(1):25-8, 1990