Bankart lesion

Case contributed by Varun Babu
Diagnosis certain

Presentation

Recurrent shoulder dislocation

Patient Data

Age: 35 years
Gender: Male
mri
This study is a stack
Sagittal
T2
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Sagittal
PD fat sat
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Coronal
T1
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Coronal PD
fat sat
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Coronal
STIR
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Coronal
Gradient Echo
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Axial PD
fat sat
This study is a stack
Axial
Gradient Echo
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Info

Intermediate signal intensity seen in all pulse sequences in the supraspinatus tendon. PD high signal intensity seen in anteroinferior labrum from 3 to 6 o clock.  

ct
This study is a stack
VRT
This study is a stack
VRT
This study is a stack
VRT
This study is a stack
Sagittal
bone window
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Coronal
bone window
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Axial bone
window
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Info

Bony depressed 7 mm fracture seen in the anteroinferior glenoid margin. Osteodegenerative changes seen in the posterosuperolateral humeral head. 

Case Discussion

Recurrent anterior dislocation with a torn anteroinferior labrum and associated glenoid bony fracture is a typical case of bony Bankart. There is associated Hill Sach lesion in the posterosuperolateral humeral head. <5% glenoid volume loss in this case. 

This is a typical example of bony Bankart with Hill Sach lesion.

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