Treatment for Bankart Lesions

Phase-Based Estimates
1
Effectiveness
1
Safety
London Health Sciences Centre - Unviersity Hospital, London, Canada
Bankart Lesions+1 More
Eligibility
< 65
All Sexes
Eligible conditions
Bankart Lesions

Study Summary

This study is evaluating whether a surgery to repair a torn labrum in the shoulder joint will lead to better outcomes than a surgery to repair a torn labrum alone.

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Eligible Conditions

  • Bankart Lesions
  • Anterior Shoulder Instability

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Treatment will improve 1 primary outcome and 4 secondary outcomes in patients with Bankart Lesions. Measurement will happen over the course of 3,6 months; 1-2 years.

3,6 months; 1-2 years
Range of Motion
Year 2
Recurrence
Upper Extremity Functional Index
Year 2
Western Ontario Shoulder Instability Index
Year 2
4-Item Pain Intensity Measure

Trial Safety

Trial Design

2 Treatment Groups

Arthroscopic Bankart Repair & Rotator Interval Closure

This trial requires 142 total participants across 2 different treatment groups

This trial involves 2 different treatments. Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Arthroscopic Bankart Repair & Rotator Interval Closure
Procedure
Arthoscopic Bankart Repair alone
Other

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 3,6 weeks;3,6 months; 1,2 years
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 3,6 weeks;3,6 months; 1,2 years for reporting.

Who is running the study

Principal Investigator
D. B.
Prof. Dianne Bryant, Associate Professor
University of Western Ontario, Canada

Closest Location

London Health Sciences Centre - Unviersity Hospital - London, Canada

Eligibility Criteria

This trial is for patients born any sex aged 65 and younger. There are 5 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
At least one episode of demonstrated dislocation
Patients between the ages of 15 to 50 years
Bankart lesion of the anterior glenoid labrum
Absence of other capsular and tendon injuries
Absence of glenoid fractures or divots

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the primary cause of bankart lesions?

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Bankart lesions are related to abnormal wear on an affected shoulder due to shoulder motion of greater than 90/180° and greater than 60% of normal shoulder range of motion.

Unverified Answer

What causes bankart lesions?

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Bankart lesions are the result of a combination of a noncontact, internal mechanism and external mechanism of origin. This external injury model is supported by this study. External factors, specifically trauma, may not be causative in the development of these lesions.

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Can bankart lesions be cured?

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Arthroscopic surgery for subchondral bone blockage should be considered for most cases of chronic shoulder pain secondary to Bankart lesions when no osteoarthritis is present. Failure of surgery is rare and the procedure is easy to perform.

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How many people get bankart lesions a year in the United States?

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About 25% develop a bankart lesion. In this representative sample of adolescents with Bankart lesions the mean age at time of first injury was 16. The most common injury location was a high-velocity injury, and the most common cause of Bankart lesions was instability.

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What are the signs of bankart lesions?

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Bankart lesion, which usually has a combination of redness, swelling, increased pain, bruising, and a 'pop' sound over the affected shoulder, is one of the most common causes of shoulder pain in children. Bankart lesion of the shoulder is a common and often untreated ailment. Bankart lesions typically occur in 5% of athletic individuals who practise overhead throwing sports. Bankart lesions in children should be considered and managed to prevent future deterioration and the occurrence of shoulder pain and other shoulder related long term injury.

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What are common treatments for bankart lesions?

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Bankart lesions often heal completely, whereas persistent instability is more likely following nonsurgical treatment. Bankart lesions treated conservatively can have good long-term results. In cases of failure of nonsurgical treatments or poor function at the time of surgical treatment, arthroscopic surgical correction is also warranted.

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What is bankart lesions?

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Bankart lesions are characterized by a bony outgrowth at the humerocapitllar articular surface. They are the result of chondrolysis of the labrum and the femoral head causing the labrum to be displaced medially. This displacement causes the joint surface to become more concave than that of normal patients. The labrum is also stretched and thus is more stiffened, which is further detrimental to the joint. It may be reasonable to treat the lesion with a screw or a screw-plate configuration. This technique could be used to treat patients with severe capsular laxity, high dislocation rates, or persistent signs of pain and instability following bankart repair by standard technique.

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Is treatment safe for people?

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The risks and benefits associated with arthroscopy for partial meniscectomy should be discussed with prospective study participants. This may be possible when long-term morbidity is compared with long-term functional outcomes such as return to sporting levels. Clinicians should consider the risk-benefit index for each treatment option.

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How does treatment work?

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Bankart lesion repair restores bony-bone contact (synovial gliding, rotational stability, and labral sliding) and restores the glenohumeral joint to normal. Shoulder pain is reduced in most patients if it is caused by a labral tear. Shoulder pain should be reduced by labral repair and/or capsular repair. Shoulder pain may be reduced in patients with a partial-thickness rotator cuff tear and/or an intact but abnormal biceps tendon. Shoulder pain should be reduced in patients with a partial-thickness rotator cuff tear and/or an intact but abnormal biceps tendon.

Unverified Answer

What is the latest research for bankart lesions?

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Bankart lesions are a common joint problem. We now have the most detailed understanding of how the knee mechanics in this condition. New methods are now being developed and validated. We can start to develop and validate protocols to manage these lesions. The treatment of a Bankart lesion also requires an understanding of its pathogenesis.

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Does treatment improve quality of life for those with bankart lesions?

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For some participants, improvement in shoulder function was accompanied by improvements in PROM and HRQL. In contrast, participants with stable Bankart lesions exhibited similar long-term shoulder function but worse HRQL and PROM.

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What is the average age someone gets bankart lesions?

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Bankart lesions are common in patients, especially females. This occurrence is related to age; patients<16 years are more often affected than adults. This demographic data would justify a follow up examination annually for those patients.

Unverified Answer
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