Post-traumatic anterior shoulder instability commonly occurs following an avulsion of capsulolabral complex from glenoid (Bankart lesion) or rarely after humeral avulsion of the glenohumeral ligaments (HAGL lesion). Arthroscopic Bankart repair offers high success rates of healing. However, trauma following the treatment may cause implant failure or re-avulsion of the treated tissue. We aim to present the diagnosis and treatment of an isolated HAGL lesion in a professional soccer player who had previously undergone arthroscopic Bankart repair.
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http://dx.doi.org/10.1080/00913847.2017.1309955 | DOI Listing |
Cureus
October 2024
Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, JPN.
A humeral avulsion of the glenohumeral ligament (HAGL lesion) is a relatively rare pathology seen in patients with traumatic anterior shoulder instability. A HAGL lesion combined with a Bankart lesion is called a floating inferior glenohumeral ligament (IGHL) and is rare. We report a case of floating IGHL that could not be diagnosed before surgery.
View Article and Find Full Text PDFJSES Rev Rep Tech
August 2024
Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, NY, USA.
Background: Anterior humeral avulsions of the glenohumeral ligament (aHAGL) lesions are relatively rare causes of shoulder instability that affect athletes at a higher rate than other populations. The purpose of this study is to evaluate rate of return to sport (RTS) after HAGL repair.
Methods: A search of the PubMed (MEDLINE), Scopus, and Cochrane CENTRAL databases was conducted on April 13, 2022 with the search terms "HAGL" or "humeral avulsion glenohumeral ligament" was used to conduct the systematic review.
Arthrosc Tech
May 2024
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.
Shoulder instability, often associated with both soft tissue and bone lesions, can result in shoulder pain and dysfunction. To address this, the combined procedure of a Bankart repair in conjunction with humeral avulsion of the glenohumeral ligament (HAGL) repair aims to minimize failure rates in a single procedure. While HAGL repair is imperative for preventing recurrent instability, there remains a lack of consensus on the optimal surgical technique.
View Article and Find Full Text PDFOrthop J Sports Med
June 2024
Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Australia.
Background: There is a lack of data regarding the long-term clinical outcomes of open repair of humeral avulsion of the glenohumeral ligament (HAGL).
Purpose: To examine the long-term patient outcomes, prevalence of related shoulder lesions, and return to sports in patients who have had open HAGL repair.
Study Design: Case series; Level of evidence, 4.
Radiologie (Heidelb)
February 2024
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie der Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland.
Posttraumatic instability accounts for more than 95% of all shoulder instabilities with the highest incidence in patients between 20 and 30 years of age. In this age group, lesions of the capsulolabral complex are the most common sequelae after the first shoulder dislocation. Typical acute findings are the Bankart and Perthes lesions and humeral avulsion of the glenohumeral ligament (HAGL).
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