We have experienced 4 cases of glenoidal limbus tears suffered in sports activities especially baseball. These limbi were either resected or sutured. However, the symptoms did not disappear with surgical resections or sutures. Therefore, other combined pathogenic factors were considered for residual symptoms, for example tears in the rotator cuff, impingement syndrome, subluxation and so on. According to Snyder's classifications, these cases were Type I, Type III, and Type IV. The case of a 58-year-old male could not be classified. A 17-year-old male was Type I and his lesion was trimmed under arthroscopic procedures. The outcome was unsatisfactory. An 18-year-old college baseball player was Type III, a flap limbus tear of the posterior part was seen arthroscopically and it was resected openly.
Bankert's lesion wa s sutured using Craig Morgan's technique and also the rotator interval was repaired. The outcome was excellent. A 19-year-old female college tennis player was Type IV. Her Bankert's lesion was sutured under arthroscopy with resection of the posterior limbus tear flap. The outcome was that she can play tennis, but feels pain when serving. Another was a 58-year-old male case. He played baseball as a pitcher until he was 40 years old. A big limbus tear was noticed in this case. It was trimmed openly. He still complains of omoarthralgia. We think that accompanying lesions are very important in the treatment of glenoidal limbus tears.
