Introduction: Reverse bony Bankart lesions are a rare cause of posterior shoulder instability following traumatic dislocation. Optimal management remains controversial, especially in cases with significant glenoid bone loss. Arthroscopic fixation offers a minimally invasive alternative to open procedures. Case Report: A 50-year-old male presented with pain and instability of the right shoulder following a road traffic accident. Imaging revealed an acute reverse bony Bankart lesion involving approximately 38% of the glenoid surface. The patient was managed with arthroscopic reduction and internal fixation using cannulated cancellous screws. Post-operative rehabilitation was initiated early, with gradual restoration of range of motion and strengthening. Conclusion: Arthroscopic fixation of reverse bony Bankart lesions is a safe and effective technique in acute cases with moderate bone loss, providing stable fixation, restoration of joint congruity, and good functional outcomes while avoiding the morbidity of open surgery.
Kakran et al. (Thu,) studied this question.