Orthopedics · Sports Injuries

A 24-year-old rugby player sustains an anterior dislocation of the right shoulder, reduced in the emergency department. MRI arthrogram shows detachment of the anteroinferior labrum with stripping of the periosteum from the anterior glenoid neck. Which structure is injured?

  • A Bankart lesion
  • B Hill-Sachs lesion
  • C SLAP II tear
  • D Supraspinatus avulsion
Correct answer: A. Bankart lesion

Explanation

The Bankart lesion is detachment of the anteroinferior glenoid labrum with anterior scapular periosteal stripping, the characteristic lesion after traumatic anterior glenohumeral dislocation and the main reason for recurrent instability in young athletes. B Hill-Sachs lesion is a posterolateral humeral head impaction fracture, not a labral injury, so it is the tempting distractor killed by the described labral detachment.

Reference: Apley and Solomon's System of Orthopaedics and Trauma, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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