Hammond Terry A
The Shoulder Clinic, Orthopaedic Surgery and Sports Medicine Centre, Benowa, Queensland, Australia.
JBJS Case Connect. 2019 Jan-Mar;9(1):e7. doi: 10.2106/JBJS.CC.18.00104.
Senior musculoskeletal radiologists diagnosed fractures of the anterior glenoid rim (osseous Bankart lesions) in 3 patients with shoulder instability who had routine imaging. However, additional assessment suggested that the images were more consistent with heterotopic ossification under an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion with no true osseous Bankart lesion and no substantial bone loss.
Recognition of the lesion described in this article is important to prevent potential misdiagnosis and may assist in surgical decision-making.
3例肩部不稳定患者进行常规影像学检查，资深肌肉骨骼放射科医生诊断为前盂唇缘骨折（骨性Bankart损伤）。然而，进一步评估表明，这些图像更符合前盂唇韧带骨膜袖套撕脱（ALPSA）损伤下的异位骨化，不存在真正的骨性Bankart损伤，也没有明显的骨质流失。
认识本文所述病变对于防止潜在误诊很重要，可能有助于手术决策。
