how to rehab a bankart lesion

There are two general options for the treatment of a Bankart tear. One option is to allow the arm to rest, and the inflammation to subside with the use of a sling. This is usually followed by physical therapy to regain motion of the extremity.

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What is the best treatment for a Bankart lesion?

Rehabilitation Goals • Do not overstress healing tissue • Reduce swelling, minimize pain • Gradually increase shoulder PROM/AROM • Initiate rotator cuff strengthening • Progress periscapular strength • Improve dynamic shoulder stability • Gradually return to full functional activities • Patient education Sling • Discontinue

What is a Bankart lesion?

Bankart repair rehabilitation protocol Use of a sling only as needed or prescribed - Okay to shower once dressings are changed (Day 1) Arm is restricted from these movements for 4 weeks: extension (backwards) past the plane of the body External rotation... extension (backwards) past the plane of the ...

What is the rehabilitation protocol for Bankart repair?

Rehabilitation after Arthroscopic Posterior Bankart Repair . Phase Five: 13-20 weeks after surgery onward . Goals: 1. Progression of functional activities. 2. Maintain full range of motion 3. Continue progressive strengthening Exercise Program: STRETCHING / RANGE OF MOTION . Days per week: 5-7 Times per day: 1. Continue all exercises from phase 4

What is the best treatment for a damaged Bankart muscle?

Bankart Repair Rehab Protocol Timeline3, 4 Treatment Milestones1, 2 Week 1 Dates: _____ to _____ No formal PT unless needed Use sling 24 hrs/day No driving Ice for pain and inflammation control Remove Sling TID for Pendulum exercises (Codman’s)6 Sleep comfortably through the night wearing sling Weeks 2-4

How long do Bankart lesions take to heal?

It is usually estimated that it will take at least 4-6 months to feel as though you have completely regained the use of your arm. Some cases may take as long as 9-12 months to make a full recovery.

How long do Bankart lesions take to heal without surgery?

The rehabilitation following a Bankart Reconstruction usually takes 4-6 months depending on the sport or activity level. A shoulder immobilizer with a small pillow next to the side is used to protect the repair for the first six weeks.

How do you strengthen your shoulders after Bankart repair?

2:544:27Shoulder Stabilization (Bankart Repair) - Post Operative Rehabilitation ...YouTubeStart of suggested clipEnd of suggested clipExtra rotation to 30 degrees avoid actively elevating the arm and avoid lifting of objects in thatMoreExtra rotation to 30 degrees avoid actively elevating the arm and avoid lifting of objects in that arm. In Phase two from six to 12 weeks we try to get full range of motion of the shoulder.

What should you avoid with a Bankart lesion?

Arm is restricted from these movements for 4 weeks:extension (backwards) past the plane of the body.External rotation (arm rotation outwards) greater than 0° (straight in front); extensive repairs may require more restrictions.For posterior repairs, avoid any internal rotation (turning in) past the body.

Can a Bankart lesion heal on its own?

If a Bankart tear doesn't heal properly, it can cause future dislocations, instability, weakness and pain. Bankart lesions may be treated through conservative methods such as rest, immobilization and physical therapy, particularly in older patients.

Can you workout with a Bankart lesion?

In general, it is usually safe to return to heavier weight training at 3-4 months following labrum repair. Before embarking on a weight-training program, you should have full range of shoulder motion and normal strength in the rotator cuff and scapular muscles.

What is the difference between a Bankart lesion and a SLAP tear?

A SLAP (Superior Labrum Anterior to Posterior) tear, a specific type of labral tear, involves the attachment site of the biceps tendon located at the top of the shoulder joint. A Bankart tear describes a torn labrum where the humeral head shifts toward the front of the body, as an anterior labral tear.

How painful is Bankart repair?

They may feel a popping sensation, experience repeated dislocations with more overtime, and notice a chronic ache in the shoulder and upper arm. Some may feel significant pain when moving the shoulder a certain way, and others will not feel any pain at all after a labral tear.Jun 14, 2019

What does a Bankart lesion feel like?

Instability and weakness. The shoulder may feel 'loose'. Patient's may report apprehension about moving the shoulder into certain positions away from the body. Patients may also report recurrent instability, subluxation, or dislocation with low energy movements, like rolling over in bed, or putting on a seat belt.Aug 17, 2016

What is arthroscopic Bankart repair?

A Bankart lesion is a shoulder injury that occurs due to a labrum tear causing instability and recurrent dislocations of the shoulder joint. Arthroscopic Bankart repair is a minimally invasive surgical procedure performed to reattach and tighten the detached labrum within the shoulder joint.

How long should you wear a sling after Bankart repair?

Activity. You will be placed in a sling after surgery. The sling is generally used for the first 4 - 6 weeks following your procedure. This should be worn at all times initially.

When can I swim after Bankart repair?

The shoulder may get wet. DO NOT REMOVE THE BUTTERFLY TAPES (IF PRESENT) UNTIL 14 DAYS AFTER SURGERY. No immersion in water is allowed for 14 days post op. This means – No soaking in a bathtub, hot tub whirlpool or swimming in the ocean/pool.

How to get your arm to hang up?

The starting position for this exercise is to bend over at the waist so that the affected arm is hanging freely straight down. Alternatively, lie face down on your bed with the operated arm hanging freely off of the side. While keeping the shoulder blade ‘set’ and keeping the elbow straight, raise the arm backward

Should resistance exercises be done in both directions?

These resistance exercises should be done very slowly in both directions. We want to strengthen you throughout the full range of motion and it is very important that these exercises be done very slowly, not only when you complete the exercise (concentric), but also as you come back to the start position (eccentric). The slower the motion, the more maximal the contraction throughout a full range of motion.

How to swing your arm backwards?

Bend over at the waist and let the arm hang down. Using your body to initiate movement, swing the arm gently forward and backward and in a circular motion.

How to get a swollen arm out of bed?

Lie on your back. Hold the affected arm at the wrist with the opposite hand. Using the strength of the opposite arm, lift the affected arm upward, as if to bring the arm overhead, slowly lower the arm back to the bed.

How to get rid of a swollen arm?

Using a cane or long stick in the opposite hand, push against the hand of the affected arm so that the affected arm rotates outward. Hold 10 seconds, relax and repeat.

How to do a shoulder op?

Sitting in a chair or standing, place the hand of the operated arm behind your back at the waistline. Use your opposite hand, as illustrated, to help the other hand higher toward the shoulder blade. Hold 10 seconds, relax and repeat.

How to stretch your shoulder?

Lie on your back. Clasp your hands and place your hands behind your head with the elbows facing forward. Slowly lower the elbows to the side to stretch the shoulder outward. Hold for 10 seconds, and then return to the starting position.

What is Bankart lesion?

The Bankart lesion is an injury of the Glenohumeral Joint. This is a ball-and-socket joint binds the scapular and the humerus. Parts of the joint are the labrum, a fibrocartilaginous structure around the glenoid, the capsule and ligaments and supporting muscle tendons.

Can Bankart be detected in physical examination?

Although Bankart lesions often occur in patients with shoulder dislocation, they are hard to detect in physical examination.

What is a soft tissue Bankart lesion?

We can distinguish to types of Bankart lesions: a soft tissue Bankart lesion and a bony Bankart lesion.#N#A soft tissue Bankart lesion is an anteroinferior labrum avulsion damage of the glenoid rim. The posterior capsule may be stretched and the inferior glenuhumeral ligament is torn..

Why is the glenohumeral joint unstable?

The shoulder is designed for its mobility, with stability being sacrificed to achieve this mobility. Due to poor osseous congruency and capsular laxity, the glenohumeral joint is very unstable, which makes it the most frequently dislocated joint in the human body. It relies on dynamic stabilizers and the neuromuscular system for its stability. Anterior Shoulder Instability is the most common traumatic type of instability, representing approximately 95% of all shoulder instabilities. Glenohumeral dislocations are mainly caused by an abduction, extension and external rotation movement.

What is the WOSI score?

WOSI: Western Ontario Shoulder Instability Index#N#Western Ontario Shoulder Instability Index (WOSI), which is a subjective quality of life measurement tool specific to shoulder instability. Walch-Duplay score, which is the gold standard score used in Europe.#N#The WOSI consists of four subscales: physical symptoms and pain; sport, recreation, and work function; lifestyle and social functioning; and emotional well-being. Twenty-one items are scored using a Visual Analogue Scale measuring 100 mm horizontally placed under each question. This questionnaire requires a minimum of explanations to the patient for the filling of scales. The best possible score indicating the highest possible shoulder-related quality of life is 0 and the worst possible score indicating the poorest quality of life is 2100.

Can a physiopedia article be used as a reference?

That is usually the journal article where the information was first stated. In most cases Physiopedia articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). If you believe that this Physiopedia ...

What is the Walch Duplay score?

The Walch-Duplay score is composed of four items: activity, stability, pain and mobility. According to the Walch-Duplay score, results were classified as excellent (91 and 100 points), good (76 and 90 points), fair (51–75 points) or poor (under 50). The correlation between the Walch-Duplay score and the WOSI is strong.

What is a bankart tear?

A Bankart lesion, aka glenoid labrum tear, is where there is damage to the special layer of cartilage lining the shoulder joint. A bankart tear usually occurs when the shoulder dislocates forwards and most commonly affects young athletes. Damage to the labrum makes the shoulder more prone to instability and there is a high risk ...

Can Bankart repair shoulder?

This is because the glenoid labrum tear often fails to heal properly, so doesn’t provide the extra depth to the socket that is needed, reducing the stability and increasing the risk of further dislocation.

What is the cartilage around the socket called?

So, around the rim of the socket is a special band of cartilage known as the glenoid labrum. This is made of fibrocartilaginous material and works to deepen the socket to improve the connection of the joint and improving stability without restricting mobility. A Bankart lesion is when there is damage to the lower portion of the glenoid labrum, ...

What causes Bankart lesion?

A Bankart lesion is when there is damage to the lower portion of the glenoid labrum, causing it to tear away from the bony socket. This tends to happen when the shoulder dislocates anteriorly, meaning the head of the humerus is forced forwards and pops out of the glenoid socket. As it is forced forwards, it can damage the labrum, causing it to tear.

What is labral tear surgery?

The labral tear surgery aims to repair and tighten overstretched and damaged ligaments, joint capsule and cartilage. Suture anchors are placed in the bone and the torn glenoid labrum is reattached to the glenoid fossa. You can usually go home the same day, or the following day after a Bankart repair.

What causes shoulder pain and instability?

A Bankart lesion is just one possible cause of shoulder pain and instability. The upper part of the glenoid labrum may be damaged, known as a SLAP tear causing pain and instability with overhead movements. You can find out more about other causes in the Common Shoulder Problems section.

What causes shoulder dislocations?

A vast majority of shoulder dislocations are anterior dislocations (over 95%) and are usually caused by: 1. Trauma. A fall onto an outstretched arm , particularly if the arm is abducted (out to the side), externally rotated (turned outwards away from the body) and extended (behind).

What are the symptoms of a slap tear?

Popping, clicking, grinding, and catching are common symptoms associated with SLAP tears. Bankart Lesion. Shoulder dislocations, or partial dislocations, can tear the lower front portion of the labrum and damage the inferior glenohumeral ligament. These are Bankart Lesions.

What is a Bankart tear?

Bankart tears typically occur with shoulder dislocation in younger patients; the head of the humerus either shifts forwards, “anterior instability,” or backwards, “posterior instability.”. SLAP tear.

How to heal a slap tear?

Practicing modifying and avoiding activities that cause pain, particularly throwing. As your symptoms improve, you will be taught progressively more challenging exercises to help you recover. Unfortunately, SLAP tears recover slowly and some cases do require surgical repair. Take a look at these surgeries for repair.

Which joint has the most range of motion?

Anatomy. The shoulder is a “ball and socket” joint, similar to the hip. But unlike your hip, a deep ball and socket, the shoulder socket is very shallow. This is a reason why the shoulder has the most range of motion of all our joints. A thick, fibrous rim of cartilage called the “labrum” surrounds the entire outside edge ...

What is contrast injected into?

For most radiographic studies, the contrast is iodine-based. For orthopedic conditions, especially looking at the labrum, gadolinium is injected inside of the joint. By injecting contrast within the joint, it becomes easier to visualize damage to cartilage and ligaments. Imaging Concerns.

What is the CNS?

The CNS is the control center, taking input from the joints and giving instructions to the active components. Its roll in rehab is often overlooked, but cannot be undervalued.