Shoulder Pain differential
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Glenoid Labrum Tear: Bankart Lesion
Glenoid Labrum Tear: SLAP Lesion
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Glenoid Labrum Tear: Bankart Lesion
What is a Bankart Lesion?
Lesion to anterior band of the inferior glenohumeral ligament
Soft tissue Bankart lesion:
Anteroinferior labrum avulsion damage of the glenoid rim
May stretch posterior capsule and tear inferior glenohumeral ligament
Bony Bankart lesion:
Fracture of anteroinferior glenoid rim, as well as, soft tissue damage
What is the cause?
Repeated anterior shoulder subluxations due to instability
Dislocations can damage connective tissue around glenoid labrum and the connection between labrum and capsule
Common for athletes
Signs & Symptoms:
Pain in the anterior shoulder
Catching, clicking, or sense of slipping of the shoulder
Weakness with lifting and overhead activity
Instability
Pain referral pattern:
Pain in anterior shoulder
Diagnostic tools to rule in/out:
MRI
CT
DCAT
Special tests:
Hawkin’s Kennedy
Internal rotation resistance strength test
Presentation of condition:
Anterior instability
Labral tears that do not have detachment of the ligaments can cause internal derangement and may have look similar to meniscal tears of the knee