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Anterior Instability with Bone Avulsion: Bony Bankart Bridge Procedure

  • Burak Altintas
  • Jonathan A. Godin
  • Erik M. Fritz
  • Peter J. Millett
Chapter

Abstract

Avulsion fractures of the anteroinferior glenoid rim, also known as bony Bankart lesions, are commonly associated with anterior glenohumeral dislocations. Because bone deficiency of the anteroinferior glenoid can contribute to recurrent glenohumeral instability, bony Bankart lesions should be repaired whenever feasible. The Bony Bankart Bridge technique is a reproducible and excellent way of arthroscopically treating these lesions. Advantages of this technique over open procedures include superior visualization, anatomic reduction with fragment compression, and minimal invasiveness.

Keywords

Bone avulsion Bony Bankart Bridge Avulsion fracture Glenohumeral instability Glenohumeral dislocation Arthroscopic 

Recommended Literature

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    Spiegl UJ, Smith SD, Todd JN, Coatney GA, Wijdicks CA, Millett PJ. Biomechanical comparison of arthroscopic single- and double-row repair techniques for acute bony bankart lesions. Am J Sports Med. 2014;42(8):1939–46.  https://doi.org/10.1177/0363546514532782.CrossRefPubMedGoogle Scholar
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    Millett PJ, Braun S. The “Bony Bankart Bridge” procedure: a new arthroscopic technique for reduction and internal fixation of a bony bankart lesion. Arthroscopy. 2009;25(1):102–5.  https://doi.org/10.1016/j.arthro.2008.07.005.CrossRefPubMedGoogle Scholar
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    Millett PJ, Horan MP, Martetschläger F. The “‘Bony Bankart Bridge’” technique for restoration of anterior shoulder stability. Am J Sports Med. 2013;41(3):608–14.  https://doi.org/10.1177/0363546512472880.CrossRefPubMedGoogle Scholar
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    Martetschläger F, Kraus TM, Hardy P, Millett PJ. Arthroscopic management of anterior shoulder instability with glenoid bone defects. Knee Surg Sports Traumatol Arthrosc. 2013;21(12):2867–76.  https://doi.org/10.1007/s00167-012-2198-9.CrossRefPubMedGoogle Scholar
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    Godin JA, Altintas B, Horan MP, Hussain ZB, Pogorzelski J, Fritz EM, Millett PJ. Midterm results of the Bony Bankart Bridge technique for the treatment of Bony Bankart lesions. Am J Sports Med. 2019;47(1):158–64.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Burak Altintas
    • 1
  • Jonathan A. Godin
    • 2
  • Erik M. Fritz
    • 3
  • Peter J. Millett
    • 4
  1. 1.Department of Orthopeadic Surgery and Sports MedicineUniversity of KentuckyLexingtonUSA
  2. 2.Department of Orthopaedic SurgeryVirginia Tech Carilion School of MedicineRoanokeUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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