Bankart lesion with grade V SLAP tear in shoulder MR-arthrogram

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Recurrent attacks of shoulder dislocation.

Patient Data

Age: 30 years
Gender: Male

Pre-injection MRI shows a humeral head bone cyst and fluid signal inside the subacromial bursa with AC joint hypertrophy.

After fluoroscopic guided needle insertion into the right glenohumeral joint, contrast flow passed into the subcoracoid bursa and glenohumeral joint space. No contrast leakage into the sub-acromial or sub-deltoid bursae could be seen, also no leakage along the needle tract was seen after needle withdrawal.

NB: Before needle insertion arm position was adjusted, the humerus was overriding the glenoid cavity. We applied some axial traction to place it again into its anatomical position.

A "non bony" Bankart lesion and a type V SLAP tear are clearly seen. Please see each sequence comment for further reading.

Case Discussion

Bankart lesions are a common cause of recurrent joint dislocation. They may be associated with different grades of SLAP tear or reversed Hill-Sachs lesions in some cases. MRI arthrography is a useful and simple method to study and classify the labral tears.

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Case information

rID: 51360
Case created: 12th Feb 2017
Last edited: 20th Feb 2017
Inclusion in quiz mode: Included

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