Sports Injury Info

explanation of shoulder injury/surgery (Bankart Repair and Capsulorraphy)

by jodie
(hagerstown, md)

my 16 year old son just underwent a capsulorraphy and bankart repair to his right shoulder with complete avulsion of his ligaments and stripping off of the anterior glenoid. They placed 4 anchors in his shoulder.

Can you please explain exactly what all was wrong with his shoulder, how bad it was in comparison to a typical injury as a result of dislocation, and what kind of recovery period we are looking at before he has full function and no limitations (even if he thinks he can before then).

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explanation of shoulder injury/surgery (Bankart Repair and Capsulorraphy)

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Sep 22, 2008
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Shoulder surgery explanation...
by: Bart - SII

Great Question!

The injury that your son sustained is actually very common with shoulder dislocation. Basically, when the shoulder dislocates, it forces the humeral head out of the socket (the glenoid), and this causing stretching and tearing of the joint ligaments (the capsule) and often will tear the labrum away from the bone (an avulsion). So, your son suffered a bankart lesion, which is a tearing of the cartilage away from the bone located toward the front and bottom of the shoulder. Here are a few links for more information, just in case you didn't find it on the site already.

Shoulder Dislocation
What is a Bankart Lesion?
Shoulder Anatomy

The surgery involved re-attaching the labrum to the glenoid - using 4 anchors, as well as tightening the stretched out joint capsule - the capsulorraphy. This is a fairly good expalanation of the labral repair (bankart repair in your son's case).

Return to activities should be somewhere around 4-6 months given the combination of the capsulorraphy and the labral repair - I wouldn't let any of my patients return to football any earlier than 4 months, most likely 6, and it would be very dependent on their shoulder strength and control. Your doctor will no likely have their own timeline with regards to when he will allow return to sports.

Comment back with other questions

Bart

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