Bankart lesion

Case contributed by Giovanni Rinaldi
Diagnosis certain

Presentation

Elderly woman has accidentally fallen down. She went to ED for humeral diaphyseal pain.

Patient Data

Age: 65 years
Gender: Female
x-ray

The first radiologist reported this study negative: no fracture.

ct

The patient was admitted to orthopedic evaluation. Considering pain, movement limitation and shoulder dislocation at movement, CT exam was requested.

CT report: Intra-articular anteroinferior scapular glenoid fracture with displacement of several bony fragments. Humeral head is in normal position

Case Discussion

Bankart lesions are a common complication of anterior shoulder dislocation and they are the result of detachment of the anterior inferior labrum from the glenoid

To a second opinion, X-rays weren't normal.

We must look carefully at every bone segment included in the x-ray views, considering sometimes clinical symptoms can create confusion (patient at the moment complained pain at the level of humeral diaphysis).

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