Damage to the anterior part of the humerusis called Bankart damage. The lip of the shoulder performs a cushioning function, simultaneously fixing the bone in the humeral cavity. In cases where the lip breaks or breaks, the stability of the entrance of the bone decreases. This occurs against the background of a dislocation and inevitably leads to a disruption of the stability of the shoulder joint as a whole.
There are two main causes of damage to the Bankart shoulder joint:
At risk are athletes engaged inthrowing the nucleus or athletics. Golf lovers are prone to dislocations in the shoulder joints. Naturally, the risks are reduced if the training takes place under the watchful eye of experienced coaches.
Dislocation and rupture can occur when falling on the arm or a strong blow to the shoulder. Strong rotational movements by hands and sudden lifting of weights - this can also cause damage to the Bankart.
Strangely enough, but a sedentary lifestylecan also cause damage to the shoulder joint. Some diseases lead to the fact that the humerus lip weakens and Bankart's lesions occur (this may be arthrosis, tendonitis or osteoporosis).
Damage to the Bankart humerus is divided into three types:
Damage to the joint of the shoulder joint isshoulder injury with severe pain. Pain can be aching or intense. It all depends on the degree of damage and the severity of the rupture. The rupture of the joint lip can be partial or complete.
The main symptoms include:
Treatment of Bankart injury if joint injuryand lips are insignificant, can be carried out conservatively. Parallel to this, physiotherapy and fixation of the shoulder joint are used. Although it should be remembered that conservative treatment provides a positive prognosis for complete recovery only in 50% of cases. There is a high probability that in the future there will be an unstable operation of the shoulder joint.
Surgical intervention can be open or with the help of arthroscopic surgery.
Restoration after arthroscopic surgeryoccurs much faster, muscle strength is better restored. However, the risk of relapse after such an operation is very high, when compared with open surgical operations.
The result of the treatment of Bankart injury is greaterdegree depends on the rehabilitation measures, even more than from the type of treatment. The main role in this is played by the choice of tactics of restorative procedures. There are no special exercises for treatment, the rehabilitation program depends on many factors, in particular - the degree of pathology, neglect and methods of treatment of the disease. Although the programs that are used after surgery and conservative therapy are very similar.
The first stage of rehabilitation involvesimmobilization with orthosis. The patient will have to reduce the range of movements of the injured shoulder by approximately 1-4 weeks. Fixing the shoulder allows to avoid the dislocation of the shoulder. If the pain is absent, then passive movements are allowed already from the fourteenth day of immobilization. The patient is then given an isometric exercise.
The second stage involves increasing the number ofpassive movements, active exercises are gradually included. Then the program includes exercises aimed at strengthening the rotating cuff of the shoulder.
At the third stage, rehabilitation measures are aimed at restoring all movements in the shoulder joint. Dynamic exercises are used that increase the resistance of the shoulder.
The patient should understand that rehabilitation afterdamage to the joint lip - this is a long procedure, but compliance with all the recommendations of the physiotherapist will gradually remove all the pain and restore the full mobility of the hand. In some cases, rehabilitation therapy lasts about twelve months. Heavy lifting after rehabilitation is possible only after three months.
