Abstract
A Bankart lesion is a common traumatic sports injury of the glenohumeral joint. When the shoulder is dislocated, the connective tissue surrounding the joint may tear or rupture. This study aimed to describe the initial dislocation, treatment, medical treatment, rehabilitation outcomes at 3 and 8 months, and return to daily life for three patients. Patient 1 was a 28-year-old male office worker who enjoyed fitness and weight training. His injury was sustained by a fall from his bicycle and subsequent performance of pull-up exercises. Surgery was recommended for repair of the anterior and inferior labrum tear. Reassessment of the surgery was performed after 2 months of rehabilitation. The patient was asked to exercise once a week at a rehabilitation center and to perform home-based exercises. In the first 2 months, the main exercise consisted of range of motion (ROM) exercises and stretching. Thereafter, muscle strengthening, using tubing, equipment and body weight exercises, and proprioceptive exercises were performed to gradually improve muscle strength and for return to daily activities. ROM progressively increased, with recovery of normal range at 2 months post-surgery. However, pain decreased only slightly, with a visual analog score of 6 out of 10 at 2 months post-surgery. At 8 months, the pain was bearable, without causing discomfort. Muscle strength remained almost unchanged initially but gradually recovered, although with a residual deficit of 20–30% in flexion, adduction and internal rotation. Considering the prolonged rehabilitation after surgery, future studies are warranted to analyze the long-term effects of non-surgical therapies by accumulating more cases and developing effective exercise rehabilitation programs.
Highlights
Diseases that frequently involve the shoulder are generally classified as traumatic or degenerative in nature
Athletes undergo a Bankart repair to return to their sport, the pros and cons of surgery over a conservative treatment should be carefully considered for non-athletes [7]
His shoulder pain progressed several months later after performing pull-up exercises. He immediately complained of an onset of severe pain, with a sensation of tearing in his right shoulder while executing a rapid downward motion during pull-ups. He was assessed in urgent care, and 3 weeks later, surgery was recommended based on magnetic resonance imaging (MRI) findings of
Summary
Diseases that frequently involve the shoulder are generally classified as traumatic or degenerative in nature. A Bankart lesion is an injury to the labrum caused by shoulder dislocation [4]. The most frequent treatment for a Bankart lesion is orthopedic reduction of the dislocation and surgical repair, with suturing to stabilize the labrum when the extent of the tear is significant. The repair can result in limitation of normal functional activities of the shoulder [6]. The implementation of non-surgical treatment prior to surgery is often limited by the risk for recurrent dislocation. Athletes undergo a Bankart repair to return to their sport, the pros and cons of surgery over a conservative treatment should be carefully considered for non-athletes [7]
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