Bankart lesion with glenoid bone defect - assessment TC with PICO method

Case contributed by Dr Domenico Nicoletti


Fall with outstretched arms

Patient Data

Age: 48
Gender: Male

Anterior shoulder dislocation.

Glenoid labral tear at 3-6 o'clock with small bone fragment and humeral head Hill Sachs lesion. Defect assessment with *PICO method: 11.43%.

*in honor of Pico Della Mirandola philosopher

Case Discussion

Glenoid bone defect is anterior shoulder dislocations characteristic.
Before treatment, glenoid bone defect quantification with PICO method, is required to select the best option (arthroscopy vs open surgery with bone transposition). Glenoid bone defect, more than 15% - 20%, the main cause of contraindication to arthroscopic stabilization.

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Case information

rID: 42855
Published: 21st Apr 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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