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Bony Bankart and Hill-Sachs lesions

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Shoulder pain.

Patient Data

Age: 40
Gender: Male

There is no subluxation or dislocation identified. Sclerosis at the superior aspect of the greater tuberosity. Cortical irregularity at the inferior aspect of the glenoid. 

Displaced intra-articular fracture of the antero-inferior glenoid fossa (Bankart lesion) with corresponding Hill-Sachs lesion. Shoulder joint effusion. No other abnormality.

Case Discussion

This patient had a history of shoulder dislocation and relocation. Bankart lesions may be fractures ("bony Bankart) or involve avulsion of the glenoid ("soft Bankart"), the latter may require CT or MR arthrography. 

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