Bankart lesion with glenoid bone defect - CT assessment with PICO method
Diagnosis certain
Updates to Case Attributes
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PICO method on 2D-CT en face view to quantify the glenoid bone defect area and percentage of bone loss. Glenoid bone defect is anterior shoulder dislocations characteristic.Before treatment, glenoid bone defect quantification with PICO method, is required to select the best option (arthroscopy vs open surgery with bone transposition). Glenoid bone defect, more than 15% - 20%, the main cause of contraindication to arthroscopic stabilization. The open surgery should be considered if there is glenoid bone loss > 25%, a lesion involving > 30% of the humeral head, an engaging Hill-Sachs lesion, bipolar bone lesions even without engagement.
-<p><!--[if gte mso 9]><xml>- <w:WordDocument>- <w:View>Normal</w:View>- <w:Zoom>0</w:Zoom>- <w:HyphenationZone>14</w:HyphenationZone>- <w:PunctuationKerning/>- <w:ValidateAgainstSchemas/>- <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>- <w:IgnoreMixedContent>false</w:IgnoreMixedContent>- <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>- <w:Compatibility>- <w:BreakWrappedTables/>- <w:SnapToGridInCell/>- <w:WrapTextWithPunct/>- <w:UseAsianBreakRules/>- <w:DontGrowAutofit/>- </w:Compatibility>- <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>- </w:WordDocument>-</xml><![endif]--></p><p>Glenoid bone defect is anterior shoulder dislocations characteristic.<br>Before treatment, glenoid bone defect quantification with <strong>PICO</strong> <strong>method</strong>, is required to select the best option (arthroscopy vs open surgery with bone transposition). Glenoid bone defect, more than 15% - 20%, the main cause of contraindication to arthroscopic stabilization.</p><p><!--[if gte mso 9]><xml>- <w:LatentStyles DefLockedState="false" LatentStyleCount="156">- </w:LatentStyles>-</xml><![endif]--><!--[if gte mso 10]>-<style>- /* Style Definitions */- table.MsoNormalTable- {mso-style-name:"Tabella normale";- mso-tstyle-rowband-size:0;- mso-tstyle-colband-size:0;- mso-style-noshow:yes;- mso-style-parent:"";- mso-padding-alt:0cm 5.4pt 0cm 5.4pt;- mso-para-margin:0cm;- mso-para-margin-bottom:.0001pt;- mso-pagination:widow-orphan;- font-size:10.0pt;- font-family:"Times New Roman";- mso-ansi-language:#0400;- mso-fareast-language:#0400;- mso-bidi-language:#0400;}-</style>- +<p><!--[if gte mso 9]><xml>
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- +</xml><![endif]--></p><p>PICO method on 2D-CT en face view to quantify the glenoid bone defect area and percentage of bone loss. Glenoid bone defect is anterior shoulder dislocations characteristic.<br>Before treatment, glenoid bone defect quantification with <strong>PICO</strong> <strong>method</strong>, is required to select the best option (arthroscopy vs open surgery with bone transposition). Glenoid bone defect, more than 15% - 20%, the main cause of contraindication to arthroscopic stabilization. The open surgery should be considered if there is glenoid bone loss > 25%, a lesion involving > 30% of the humeral head, an engaging Hill-Sachs lesion, bipolar bone lesions even without engagement. </p><p> </p><p><!--[if gte mso 9]><xml>
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