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Bankart Repair
A Bankart repair is an operation for habitual anterior shoulder dislocation. The joint capsule In anatomy, a joint capsule or articular capsule is an envelope surrounding a synovial joint.glenoid labrum, without duplication of the subscapularis tendon. The procedure is named for the Bankart lesion, a common name for the condition it addresses. The condition was named for British surgeon Arthur Sydney Blundell Ba ...
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Surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an anaesthetist, a circulating nurse and a surgical technologist. Surgery usually spa ...
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Shoulder Dislocation
A dislocated shoulder is a condition in which the head of the humerus is detached from the shoulder joint. Symptoms include shoulder pain and instability. Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. Diagnosis is typically based on symptoms and confirmed by X-rays. They are classified as anterior, posterior, inferior, and superior with most being anterior. Treatment is by shoulder reduction which may be accomplished by a number of techniques. These include traction-countertraction, external rotation, scapular manipulation, and the Stimson technique. After reduction X-rays are recommended for verification. The arm may then be placed in a sling for a few weeks. Surgery may be recommended in those with recurrent dislocations. Not all patients require surgery following a shoulder dislocation.  There is m ...
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Joint Capsule
In anatomy, a joint capsule or articular capsule is an envelope surrounding a synovial joint.eMedicine/Stedman Medical Dictionary Lookup!
Each joint capsule has two parts: an outer fibrous layer or membrane, and an inner synovial layer or membrane.


Membranes

Each capsule consists of two layers or membranes: * an outer (fibrous membrane, ''fibrous stratum'') composed of avascular white fibrous tissue * an inner ('' synovial membrane'', ''synovial stratum'') which is a secreting layer On the inside of the capsule, articular cartilage covers the end surfaces of the bones that articulate within that joint. The outer layer is hi ...
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Glenoid Labrum
The glenoid labrum (glenoid ligament) is a fibrocartilaginous structure (not a fibrocartilage as previously thought) rim attached around the margin of the glenoid cavity in the shoulder blade. The shoulder joint is considered a ball and socket joint. However, in bony terms the 'socket' (the glenoid fossa of the scapula) is quite shallow and small, covering at most only a third of the 'ball' (the head of the humerus). The socket is deepened by the glenoid labrum, stabilizing the shoulder joint. The labrum is triangular in section; the base is fixed to the circumference of the cavity, while the free edge is thin and sharp. It is continuous above with the tendon of the long head of the biceps brachii, which gives off two fascicles to blend with the fibrous tissue of the labrum. Structure Clinical significance Injury Tearing of the labrum can occur from either acute trauma or repetitive shoulder motion such as in the sports of swimming, baseball and football. Acute trauma m ...
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Subscapularis Muscle
The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint. Structure It arises from its medial two-thirds and Some fibers arise from tendinous laminae, which intersect the muscle and are attached to ridges on the bone; others from an aponeurosis, which separates the muscle from the teres major and the long head of the triceps brachii. The fibers pass laterally and coalesce into a tendon that is inserted into the lesser tubercle of the humerus and the anterior part of the shoulder-joint capsule. Tendinous fibers extend to the greater tubercle with insertions into the bicipital groove. Relations The tendon of the muscle is separated from the neck of the scapula by a large bursa, which communicates with the cavity of the shoulder-joint through an aperture in the capsule. The subscapularis is separated from the serratus anterior books.google.com/books ...
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Bankart Lesion
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. It is an injury of the anterior ( inferior) glenoid labrum of the shoulder. When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. It is an indication for surgery and often accompanied by a Hill-Sachs lesion, damage to the posterior humeral head. A bony Bankart is a Bankart lesion that includes a fracture of the anterior-inferior glenoid cavity of the scapula bone. The Bankart lesion is named after English orthopedic surgeon Arthur Sydney Blundell Bankart (1879–1951). Diagnosis The diagnosis is usually initially made by a combination of physical exam and medical imaging, where the latter may be projectional radiography (in cases of bony Bankart) and/or MRI of the shoulder. The presence of intra-articular contrast allows for better evaluation of the glenoid labrum. Type V SLAP tears extends into the Bankart defect. Treat ...
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Arthur Bankart
Arthur Sidney Blundell Bankart FRCS (1879–1951) was a British orthopaedic surgeon best known for describing the Bankart lesion and Bankart repair for shoulder dislocation. Biography Bankart was born in Exeter, the son of surgeon James Bankart. He was educated at Rugby School, Trinity College, Cambridge, and Guy's Hospital, qualifying in medicine in 1906. He became a Fellow of the Royal College of Surgeons in 1909, and Master of Surgery in 1910.Seyed Behrooz Mostofi. ''Who's Who in Orthopedics'' pp. 20-22. Springer, 2005. In 1909 he became the first surgical registrar at the newly established Royal National Orthopaedic Hospital. In 1911 he was also appointed surgeon to the Maida Vale Hospital for nervous diseases, the Belgrave Hospital for Children and the Queen's Hospital for Children, all in London. Consequently, at that time he was practising orthopaedic surgery, neurosurgery and paediatric surgery at four different hospitals. He also worked with Robert Jones at the She ...
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British Medical Journal
''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Originally called the ''British Medical Journal'', the title was officially shortened to ''BMJ'' in 1988, and then changed to ''The BMJ'' in 2014. The journal is published by BMJ Publishing Group Ltd, a subsidiary of the British Medical Association (BMA). The editor-in-chief of ''The BMJ'' is Kamran Abbasi, who was appointed in January 2022. History The journal began publishing on 3 October 1840 as the ''Provincial Medical and Surgical Journal'' and quickly attracted the attention of physicians around the world through its publication of high-impact original research articles and unique case reports. The ''BMJ''s first editors were P. Hennis Green, lecturer on the diseases of children at the Hunterian School of Medicine, who also was its f ...
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