Bennett lesion of the shoulder

Last revised by Yuranga Weerakkody on 9 Jan 2021

Bennett lesions of the shoulder, also called thrower's exostosis refers to the mineralisation of the posterior band of the inferior glenohumeral ligament

The abnormality is more prevalent in overhead throwing athletes.

It is associated with posterior labral tears, posterior undersurface rotator cuff tear, and posterior subluxation of the humeral head.

Patients may have pain during the cocking and follow-through phases of throwing. There may be tenderness of the posterior glenoid on palpation.

It is thought to be due to a traction injury of the posterior band of the inferior glenohumeral ligament during the deceleration phase of throwing.

It is best seen on CT or axillary view x-ray of the shoulder as a curvilinear extra-articular calcification along the posteroinferior rim of the osseous glenoid near the attachment of the posterior band of the inferior glenohumeral ligament.

In addition to showing ossification, oedema within the ossification or around the capsule may suggest acute pain or injury 9.

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