Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 6 , Pages 686-690 , June 2009

The “Subscapularis-Sparing” Approach: A New Mini-Open Technique to Repair a Humeral Avulsion of the Glenohumeral Ligament Lesion

  • Deepak N. Bhatia, M.S.(Orth), D.N.B.(Orth)

      Affiliations

    • Corresponding Author InformationAddress correspondence and reprint requests to Deepak N. Bhatia, M.S.(Orth), Cape Shoulder Institute, Medgroup Anlin House, 43 Bloulelie Crescent, Plattekloof, P.O. Box 15741, Panorama 7506, Cape Town, South Africa
    • ,
  • Joe F. DeBeer, M.Med.(Orth)
    • ,
  • Karin S. van Rooyen, M.B.Ch.B.

References 

  1. Arciero RA, Mazzocca AD. Mini-open repair technique of HAGL (humeral avulsion of the glenohumeral ligament) lesion. Arthroscopy. 2005;21:1152
  2. Scheibel M, Habermeyer P. Subscapularis dysfunction following anterior surgical approaches to the shoulder. J Shoulder Elbow Surg. 2008;17:671–683
  3. Hill JD, Lovejoy JF, Kelly RA. Combined posterior Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments associated with recurrent posterior shoulder instability. Arthroscopy. 2007;23:327.e1–327.e3
  4. Castagna A, Snyder SJ, Conti M, Borroni M, Massazza G, Garofalo R. Posterior humeral avulsion of the glenohumeral ligament: A clinical review of 9 cases. Arthroscopy. 2007;23:809–815
  5. Richards DP, Burkhart SS. Arthroscopic humeral avulsion of the glenohumeral ligaments (HAGL) repair. Arthroscopy. 2004;20:134–141(suppl)
  6. Bhatia DN, De Beer JF. The axillary pouch portal: A new posterior portal for visualization and instrumentation in the inferior glenohumeral recess. Arthroscopy. 2007;23:1241.e1–1241.e5
  7. Leslie JT, Ryan TJ. The anterior axillary incision to approach the shoulder joint. J Bone Joint Surg Am. 1962;44:1193–1196
  8. Hoppenfeld S, DeBoer P. Surgical exposures in orthopaedics: The anatomic approach. Philadelphia: Lippincott Williams & Williams; 2003;
  9. Bhatia DN, De Beer JF, van Rooyen KS, du Toit DF. The reverse terrible triad of the shoulder: Circumferential glenohumeral musculoligamentous disruption and neurologic injury associated with posterior shoulder dislocation. J Shoulder Elbow Surg. 2007;16:e13–e17
  10. Chao S, Thomas S, Yucha D, Kelly JD, Driban J, Swanik K. An electromyographic assessment of the “bear hug”: An examination for the evaluation of the subscapularis muscle. Arthroscopy. 2008;24:1265–1270

 The authors report no conflict of interest.

PII: S0749-8063(08)00909-2

doi: 10.1016/j.arthro.2008.12.001

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 6 , Pages 686-690 , June 2009

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