A humeral avulsion of the glenohumeral ligament, or HAGL lesion, is an uncommon yet disabling shoulder injury, which leads to complaints of pain and overall inability to properly use the shoulder from patients. The diagnosis of a HAGL lesion is particularly challenging. To arrive at an accurate diagnosis, the use of a magnetic resonance arthrogram is suggested along with high clinical suspicion. A HAGL lesion may be anterior or posterior. This difference dictates the type of surgical treatment to be undertaken. Although a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. The purpose of this Technical Note is to describe our preferred technique to surgically treat an anterior HAGL lesion through an open approach.
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| http://dx.doi.org/10.1016/j.eats.2017.05.019 | DOI Listing |
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Floating Inferior Glenohumeral Ligament: A Case Report.
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Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, JPN.
Article Synopsis
- A humeral avulsion of the glenohumeral ligament (HAGL lesion) is an uncommon injury linked to traumatic shoulder instability, and it's especially rare when combined with a Bankart lesion, termed a floating inferior glenohumeral ligament (IGHL).
- A case study reports a 32-year-old woman who experienced her fourth shoulder dislocation and underwent arthroscopic repair, during which a flexible drill tip broke and had to be removed surgically later.
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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.
Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position.
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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 PDFLong-term Outcomes After Open Repair of Humeral Avulsion of the Glenohumeral Ligament.
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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).
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Study Design: Case series; Level of evidence, 4.
[Imaging of posttraumatic shoulder instability : Current concepts].
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Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie der Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland.
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