Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9 , Pages 1263-1267 , September 2010

Glenoid Avulsion of the Glenohumeral Ligaments as a Cause of Recurrent Anterior Shoulder Instability

  • Eugene M. Wolf, M.D.

      Affiliations

    • Sportsmed Orthopaedic Group, San Francisco, California, U.S.A.
    • ,
  • Patrick N. Siparsky, M.D.

      Affiliations

    • San Francisco Orthopaedic Residency Program, St. Mary's Hospital, San Francisco, California, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Patrick N. Siparsky, M.D., San Francisco Orthopaedic Residency Program, St Mary's Hospital, 450 Stanyan St, San Francisco, CA 94117, U.S.A.

References 

  1. Wolf EM, Cheng JC, Dickson K. Humeral avulsion of glenohumeral ligaments as a cause of anterior shoulder instability. Arthroscopy. 1995;11:600–607
  2. Chhabra A, Diduch DR, Anderson M. Arthroscopic repair of a posterior humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion. Arthroscopy. 2004;20(Suppl 2):73–76
  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.e3www.arthroscopyjournal.org
  4. Oberlander MA, Morgan BE, Visotsky JL. The BHAGL lesion: A new variant of anterior shoulder instability. Arthroscopy. 1996;12:627–633
  5. Field LD, Bokor DJ, Savoie FH. Humeral and glenoid detachment of the anterior inferior glenohumeral ligament: A cause of anterior shoulder instability. J Shoulder Elbow Surg. 1997;6:6–10
  6. Warner JJ, Beim GM. Combined Bankart and HAGL lesion associated with anterior shoulder instability. Arthroscopy. 1997;13:749–752
  7. Bokor DJ, Conboy VB, Olson C. Anterior instability of the glenohumeral joint with humeral avulsion of the glenohumeral ligament (A review of 41 cases). J Bone Joint Surg Br. 1999;81:93–96
  8. Bui-Mansfield LT, Banks KP, Taylor DC. Humeral avulsion of the glenohumeral ligaments: The HAGL lesion. Am J Sports Med. 2007;35:1960–1966
  9. Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000;16:677–694
  10. Lo IK, Parten PM, Burkhart SS. The inverted pear glenoid: An indicator of significant glenoid bone loss. Arthroscopy. 2004;20:169–174
  11. Bigliani LU, Pollock RG, Soslowsky LJ, Flatow EL, Pawluk RJ, Mow VC. Tensile properties of the inferior glenohumeral ligament. J Orthop Res. 1992;10:187–197
  12. Bach BR, Warren RF, Fronek J. Disruption of the lateral capsule of the shoulder (A cause of recurrent dislocation). J Bone Joint Surg Br. 1988;70:274–276
  13. Nicola T. Anterior dislocation of the shoulder: The role of the articular capsule. J Bone Joint Surg Br. 1942;25:614–616
  14. Bokor DJ, Fritsch BA. Posterior shoulder instability secondary to reverse humeral avulsion of the glenohumeral ligament. J Shoulder Elbow Surg in press, available online 26 April, 2010. doi:10.1016/j.jse.2010.01.026
  15. Brown T, Barton RS, Savoie FH. Reverse humeral avulsion glenohumeral ligament and infraspinatus rupture with arthroscopic repair: A case report. Am J Sports Med. 2007;35:2135–2139
  16. 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
  17. Abrams JS, Savoie FH, Tauro JC, Bradley JP. Recent advances in the evaluation and treatment of shoulder instability: Anterior, posterior, and multidirectional. Arthroscopy. 2002;18:1–13
  18. Yiannakopoulos CK, Mataragas E, Antonogiannakis E. A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 2007;23:985–990
  19. DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes (Two- to five-year follow-up). Am J Sports Med. 2001;29:586–592
  20. Rhee YG, Cho NS. Anterior shoulder instability with humeral avulsion of the glenohumeral ligament lesion. J Shoulder Elbow Surg. 2007;16:188–192
  21. Mizuno N, Yoneda M, Hayashida K, Nakagawa S, Mae T, Izawa K. Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear. J Bone Joint Surg Am. 2005;87:2717–2723
  22. Richards DP, Burkhart SS. Arthroscopic humeral avulsion of the glenohumeral ligaments (HAGL) repair. Arthroscopy. 2004;20(Suppl 2):134–141
  23. Kon Y, Shiozaki H, Sugaya H. Arthroscopic repair of a humeral avulsion of the glenohumeral ligament lesion. Arthroscopy. 2005;21:632.e1–632.e6www.arthroscopyjournal.org
  24. Spang JT, Karas SG. The HAGL lesion: An arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments. Arthroscopy. 2005;21:498–502
  25. Safran O, Defranco MJ, Hatem S, Iannotti JP. Posterior humeral avulsion of the glenohumeral ligament as a cause of posterior shoulder instability (A case report). J Bone Joint Surg Am. 2004;86:2732–2736
  26. Pokabla C, Hobgood ER, Field LD. Identification and management of “floating” posterior inferior glenohumeral ligament lesions. J Shoulder Elbow Surg. 2010;19:314–317

 

Note: To access the video accompanying this report, visit the September issue of Arthroscopy at www.arthroscopyjournal.org.

PII: S0749-8063(10)00590-6

doi: 10.1016/j.arthro.2010.06.005

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9 , Pages 1263-1267 , September 2010

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