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

Case contributed by Dr Domenico Nicoletti

Presentation

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
Case created: 11th Feb 2016
Last edited: 25th Apr 2017
Inclusion in quiz mode: Excluded

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