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HAGL lesion repair

The HAGL lesion: an arthroscopic technique for repair of

  1. The HAGL lesion: an arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments Glenoid avulsion of the capsulolabral complex and associated capsular laxity are well-described results of traumatic anterior dislocation
  2. HAGL lesions. Magnetic resonance imaging with intra-articular contrast is the best modality for identifying an HAGL lesion and should be obtained when an HAGL lesion is suspected. On a coronal view, an HAGL lesion will result in contrast extravasation from the joint capsule inferiorly into the soft tissues of the arm (Fig 1)
  3. g noted for the repair of HAGL lesions is loss of external rotation.6 However, w
  4. Treatment (usually surgical repair) is based on the location, type, and extent of damage to this ligament. Specifics of surgical repair are provided in this article. The surgeons describe the patient position used during surgery. They include the type of incisions made and offer a step-by-step approach to surgical stabilization for HAGL lesions
  5. No special equipment is needed to repair the HAGL lesion beyond what is commonly used for Bankart repair. The Hill Sachs remplissage and Bankart repair can be added to the HAGL repair if needed. The pearls and pitfalls of this technique are described in Table 1. The advantage and disadvantage of this technique are outlined in Table 2
  6. Other authors have suggested that HAGL lesions may heal. These authors demonstrated that 67% of patients with HAGL lesions identified on an MRI performed an average of 7 days after injury resolved..

Arthroscopic Repair of Humeral Avulsion of the

Hagl Lesion: Diagnosis and Repair Curtis R. Noel Robert H. Bell Anterior shoulder instability, whether acute or recurrent, can be associated with numerous pathologic entities. These entities can be seen in isolation or in multiple combinations, with the most commonly encountered deficit being the detachment of the anterior glenohumeral ligamentlabral complex off the glenoid (th Humeral Avulsion of the Glenohumeral Ligament (HAGL) is an injury to the inferior glenohumeral ligament causing instability and/or pain and a missed cause of recurrent shoulder instability. Diagnosis requires suspicions of injury and can be noted as an inferior pouch irregularity on MRI The HAGL was first noted arthroscopically, and an arthroscopic technique for repair described in 1995. Bokor et al reported on 41 cases of HAGL lesions in a retrospective review of the pathology of 547 cases of shoulder instability, an incidence of 7.5%

Both open and arthroscopic repair of this lesion has been described. The repair usually consists or reattachment of the torn IGHL to the humeral neck with suture anchors or bone tunnels. Rehabilitation is typically similar to Bankart repair. Complcations. HAGL should be considered and search for in all patients with shoulder instability, even. Some HAGL tears can be repaired by arthroscopy, but often an open surgical repair is better to access it properly The knotless SutureTak ®, PushLock ® and SwiveLock ® anchors are knotless suture anchors designed for arthroscopic glenohumeral joint instability and SLAP repair. The knotless SutureTak anchor is inserted through a guide. The suture is passed through the labrum and then it is passed through the locking mechanism and sequentially tensioned to create a low-profile knotless repair Bone loss greater than 20% may result in failed isolated arthroscopic soft-tissue repair (Figure 5.3). An MR arthrogram is commonly used to assess for the extent of capsulolabral injury, a HAGL lesion, rotator cuff integrity, or posterior pathology

HAGL and Reverse HAGL Lesions. Tearing of the anteroinferior glenoid labrum (Bankart lesion) and of the posteroinferior glenoid labrum (reverse Bankart lesion) are well-documented, common injuries following traumatic shoulder subluxation or dislocation. The labral injury, as well as the loss of tension of the attached capsuloligamentous. SLAP tears resulting in chronic pain and dysfunction, particularly in athletes, can also be addressed through arthroscopic labral surgery. In any scenario, the labrum/ligaments can be secured back to their attachments (either glenoid or humerus) by a series of sutures/suture anchors (knot-tying or knotless) resulting in normal shoulder function https://drmillett.comThis video follows the demonstration of an arthroscopic repair of a humeral avulsion of the glenohumeral ligament lesion on a 25-year-ol..

Open Repair of an Anterior Humeral Avulsion of the

  1. Although uncommon, HAGL lesions are a significant contributor to shoulder pain and dysfunction and, if missed, can even be a cause of failed Bankart repair. HAGL lesions should generally be repaired surgically; however, given their low prevalence, there is no consensus on the optimal surgical approach
  2. Microsoft Word - HAGL/Subscapularis repair.docx Author: Curtis Noel Created Date: 20120302001014Z.
  3. This video is about arthroscopic shoulder surgical repair of a HAGL and Bankart tear. This video is about arthroscopic shoulder surgical repair of a HAGL and Bankart tear
  4. A HAGL lesion should be addressed before any labral pathology. If both lesions are present, care should be taken to perform an anatomic repair of the ligament and avoid shortening the length of the..
  5. Conway, SC. Best answers. 0. Jul 24, 2020. #1. I've seen a lot of online debates on what the open form of a HAGL repair is, and I was wondering if anyone had any ideas? I know that an arthroscopic HAGL repair is usually coded with 29806, but I haven't dealt with an open one before. Help would be greatly appreciated. 0

Diagnosis and Treatment of HAGL Lesions eOrthopod

Dr. Ebraheim's educational animated video describes lesions of the shoulder - HAGL lesion.The inferior glenohumeral ligament avulses from the inferior humera.. 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. While a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. Often, these can be [ Shoulder instability as a result of HAGL lesions is reported to occur in ~5% (range 2-10%) 2. The degree of instability and the presence of other associated injuries determines whether surgical repair is required. Differential diagnosis. IGHL tears other than at the humeral insertion 2. 40% at the glenoi Associated shoulder lesions were found in 89% of the cases. CONCLUSION: Arthroscopic repair of a HAGL lesion is a reliable method to restore shoulder stability with good clinical results. However, limitations in external rotation and a reduction in sporting ability may persist at 59 months follow-up. Concomitant lesions are common

The need to repair HAGL lesions is dependent on the size of the tear. The IGHL is an important static stabilizer of anterior translation and external rotation in the abduction position [ 19 ]. Cadaveric biomechanical studies of large HAGL lesions have demonstrated increased glenohumeral translation in the anterior, anterior-inferior, inferior. HAGL lesions, leaving 118 patients for surgical evaluation. Open surgical management of HAGL lesions was reported by 8 studies1,10,20,22,23,27,33,34 comprising 33 patients, while arthroscopic surgery was performed in 12 studiesk totaling 44 patients. Three studies6,23,24 reported outcomes of patients receiving either open or arthroscopic HAGL. Although HAGL lesions occur less commonly than Bankart lesions in cases of anterior instability, it is necessary to understand this pathology and to make the necessary repair. An all-arthroscopic technique using suture anchors can be used to repair HAGL lesions, but it is a difficult and demanding technique

Open technique offers safe, effective repair of HAGL lesion

However, arthroscopic repair of HAGL lesions may present a more technically difficult challenge compared with traditional methods of HAGL repair. The purpose of this technical overview is to describe the authors' preferred technique to arthroscopically repair a HAGL lesion while in the lateral decubitus positio arthroscopically repair of the anterior instability of the shoulder due an HAGL lesion (performed by Dr. M. Flury, Dr. H.-K. Schwyzer or Dr. Ph. Frey at the Schulthess Klinik) patients ≥18 years written informed consen type of tear arthroscopically and prefer to approach these injuries through an open approach. With some special instruments and techniques, Dr. Chudik finds the majority of HAGL injuries are reparable arthroscopically and achieve the goal of surgery, which is to repair the tor lesions are initially managed nonsurgically with physical therapy and range of motion exercises. The incidence of recurrent instability in patients with a HAGL lesion is unknown; however, preliminary evidence suggests that it may be an indication for operative repair. Surgical manage-ment of HAGL lesions is most often reserved for high

Humeral Avulsion of the Glenohumeral Ligament (HAGL) is an injury to the inferior glenohumeral ligament causing instability and/or pain and a missed cause of recurrent shoulder instability. Diagnosis requires suspicions of injury and can be noted as an inferior pouch irregularity on MRI MRI showed a posterior vs. complete tear in my inferior glenohumeral ligament, aka Humeral Avulsion of the Glenohumeral Ligament, or HAGL. My orthopedist would like to take the deltopectoral approach, divide the subscapularis, and suture the ligament to the humerus. Looking at 4-6 weeks in a sling and 4-6 months recovery total repair include less surgical trauma to the adjacent tissue in the shoulder and improved outcomes. Figure 4 Fixation of the Bankart tear using three suture anchors in the boney glenoid and sutures approximating the labrum back to the boney glenoid Figure 3 Bankart tear (anterior labral tear) When looking at a right shoulder it woul

The need to repair HAGL lesions is dependent on the size of the tear. The IGHL is an important static stabilizer of anterior translation and external rotation in the abduction position [ 19 ]. Cadaveric biomechanical studies of large HAGL lesions have demonstrated increased glenohumeral translation in the anterior, anterior-inferior, inferior. We read with great interest the informative article by Melvin et al. [], which provides revealing insights into the lesion known as humeral avulsion of the glenohumeral ligament (HAGL).HAGL has been associated with anterior shoulder instability and often requires surgical repair [2, 3].In their article, Melvin et al. show four consecutive cases of false-positive diagnoses of HAGL on MRI, and.

Hagl Lesion: Diagnosis and Repair Musculoskeletal Ke

I have anterior Bankhart repair (29806) and HAGL (Humeral avulsion glenohumeral ligament) repair via scope From what I'm understanding the ligament is part of the 29806, correct? Thanks! Jamie . J. Jamie Dezenzo True Blue. Messages 857 Location Mishawaka, IN Best answers 0. Mar 9, 2012 #2 any takers on this? Thanks! nrichard Guest The HAGL lesion is an important cause of anterior instability at the glenohumeral joint. Because this abnormality may be overlooked in patients undergoing shoulder stabilization procedures, pre-operative diagnosis with MRI is invaluable in the proper management of affected patients

(Bankart lesion), humeral avulsion of the glenohumeral ligaments (HAGL lesion), and capsular rupture. We detail a previously unreported case of a HAGL lesion occurring in a shoulder with an intact arthrosopic Bankart repair following an additional traumatic event. Anatomic repair of this subsequent injury resulted in an excellent outcome Introduction. Humeral avulsion of the inferior glenohumeral ligament (HAGL) has been shown to be an infrequent cause of shoulder instability. This lesion occurs when the inferior glenohumeral ligament avulses from the inferior humeral neck. This is in contrast to the Bankart lesion in which the IGHL is disrupted from the glenoid

Humeral Avulsion Glenohumeral Ligament (HAGL) - Shoulder

Spang, JT , Karas, SG The HAGL lesion: an arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments. Arthroscopy. Arthroscopy. 2005 ;21: 498 - 502 Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion associated with anterior shoulder instability. Although uncommon, HAGL lesions are a significant contributor to shoulder pain and dysfunction and, if missed, can even be a cause of failed Bankart repair. HAGL lesions should generally be repaired surgically; however, given their low prevalence, there is no consensus on the optimal. ment (HAGL) lesion, has a frequency of up to 9% in patients with glenohumeral instabil - ity [1-3]. Unfortunately, this diagnosis may be missed at both clinical examination and routine MRI interpretation. Detection is im-portant, because arthroscopic or open surgi-cal repair of HAGL lesions is associated wit The HAGL lesion: An arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments. Arthroscopy. 21(4):498-502, 2005. Presentations. Spang JT, Mazzocca AD, Arciero RA, Beynnon B et al. The effect of menisectomy and meniscal allograft transplant on strain in the native ACL AAOS Global states, You can report 29806 with 29807 ONLY if the SLAP lesion repair is Type 2 or Type 4. This indicates that, for the other five types of SLAP lesions, it may not be appropriate to report 29807 along with 29806. Be clear in operative reports. Surgeons need to be clear in their operative reports of the type of SLAP lesion being.

T1 - Arthroscopic repair of a posterior humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion. AU - Chhabra, Anikar. AU - Diduch, David R. AU - Anderson, Mark. PY - 2004/7/1. Y1 - 2004/7/1. N2 - Recently, the humeral avulsion of the inferior glenohumeral ligament (HAGL) has been described as a cause of shoulder instability HAGL Lesion. The pathology of shoulder instability includes injury to both labrum and capsule. Labral injury can occur via separation of the labrum from the glenoid rim or direct bony injury to the anteroinferiorglenoid (Bankart lesion).1,2 In most cases, capsular injury occurs as plastic deformation of the capsule or capsule stretching DOI: 10.3928/01477447-20080801-21 Corpus ID: 13587451. Humeral avulsion of the glenohumeral ligament: injury pattern and arthroscopic repair techniques. @article{Parameswaran2008HumeralAO, title={Humeral avulsion of the glenohumeral ligament: injury pattern and arthroscopic repair techniques.}, author={A. Parameswaran and M. Provencher and B. Bach and N. Verma and A. Romeo}, journal.

HAGL lesion repair decreased ROM and translation in both planes and restored humeral head position in maximum external rotation. CONCLUSIONS. Anterior large HAGL lesions increase ROM and glenohumeral translation. After large HAGL lesion repair, stability of the shoulder can be restored Shoulder Arthroscopy with Anterior Labral and SLAP tear Repair 13:48. NYU Langone. Humeral Avulsion of the Glenohumeral Ligament (HAGL) Lesion Feat. L. Jazrawi 12:43. Metcalf Memorial Meeting 2009. Basic Anterior Instability Repair Feat. S. Burkhart 28:03. Metcalf Memorial Meeting 2009. BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) This protocol was developed for patients who have had a bankart repair. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates. Achieving the criteria of each phase should be emphasized more than the approximate duration Tear Dislocation Calcium deposits Arthritis. 10/16/2012 11 Pathology Strain Don'tt a t too o g to epa wait too long to repair if symptomatic. 10/16/2012 14 Pathology Shoulder (Glenohumeral) Dislocation HAGL -- Humeral avulsion glenohumeral ligament Humeral avulsion glenohumeral ligament.

Anterior Shoulder Instability: Hagl Lesion Repair

Creation of a humeral avulsion of the glenohumeral ligaments (HAGL lesion) is a much less common pathological result. Failure to identify and appropriately treat this entity frequently leads to recurrent dislocations. We describe the preferred arthroscopic techniques for identification and anatomical suture anchor repair of the anterior HAGL. Abstract. Abstract: Recurrent traumatic anterior shoulder instability following surgical repair may be asso-ciated with implant failure and an array of capsulolabral pathology including separation of the labrum (Bankart lesion), humeral avulsion of the glenohumeral ligaments (HAGL lesion), and capsular rupture The HAGL lesion. — Type VII superior labral anteroposterior (SLAP) tear. A, Schematic representation of type VII SLAP lesion shows SLAP tear with extension to middle glenohumeral ligament. Numbers show time zone divisions used to localize labral abnormalities. BT = biceps tendon, G = glenoid, SGHL = superior glenohumeral ligament, MGHL.

Bach et al5 fi rst described a HAGL lesion of the lateral cap-sule that was treated with open repair resulting in satisfactory outcomes. Although infre-quently encountered, making the diagnosis of a HAGL le-sion and subsequent treatment are important to obtain a stable shoulder joint. Overall, the incidence of a HAGL lesion in the setting of. HAGL lesions are technically challenging to address arthroscopically and can be considered an indication for open repair. Rationale for this procedure An arthroscopic repair compared to an open surgical procedure results in a shorter recovery and rehabilitation time, a decreased risk of joint infection, less risk of bleeding and the ability to. ALPSA Lesion. ALPSA = Anterior Labral Periosteal Sleeve Avulsion) The anterior labro-ligamentous complex rolls up in a sleeve -like fashion and becomes displaced medially and inferiorly, the medialised Bankart lesion.. ALPSA lesions probably have a higher risk of redislocation than undisplaced Bankart tears, as the normal bumper and capsule that stabilise the front of the shoulder are.

Repair of a Bankart lesion can be accomplished by either an open procedure or arthroscopic technique. 23455 - Capsulorrhaphy, anterior; with labral repair (Bankart procedure). There are parenthetical notes under this CPT code that instruct a coder to report 29806 for the arthroscopic procedure. The information provided should be utilized for. - Hagl Lesion: - avulsion of inferior ligament from the humerus; - ref: Radiologic Case Study - Exam: Rotatory Stress Test - ref: The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study

However, the presurgical diagnosis of HAGL lesion as a cause for anterior shoulder instability can be difficult. Taljanovic et al. ( 39 ) examined a series of four female collegiate volleyball players with chronic activity-related pain and inferior capsular laxity and/or instability in their dominant shoulders Treatment of a Reverse Hill Sachs Lesion and Posterior HAGL Lesion Labrum Repair. Shoulder. Chronic posterior glenohumeral joint instability can be a challenging clinical [...] Open Repair of an Anterior Humeral Avulsion of the Glenohumeral Ligament (HAGL) Shoulder The patient underwent arthroscopic Bankart repair followed by open repair of the HAGL lesion with an open capsular shift reconstruction. At 3 years' follow-up, the patient had returned to an elite level of play, with an excellent outcome. T he patient was a 25-year-old right hand- domi- nant National Basketball Association (NBA) player who. The HAGL lesion often occurs with other shoulder injuries. For example, the patient may have suffered a rotator cuff tear or a tear of the labrum (rim of cartilage around the shoulder socket). If it goes unrecognized and unrepaired, symptoms may persist even after surgery is done to reconstruct the shoulder

Humeral avulsion glenohumeral ligament (HAGL

There is increased likelihood of sustaining a HAGL lesion with Bankart lesion in 90° abduction with a compressive load. Humeral avulsion of glenohumeral ligament lesions typically respond poorly to nonoperative management, with instability and pain being the major indications for operative repair repair The HAGL lesion: An arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments Jeffrey T. Spang, M.D., Spero G. Karas, M.D., Arthroscopy, April 2005, Vol 21, Issue 4, pg 498-502. Arthroscopic treatment of anterior shoulder instability associated with a HAGL lesion—a case serie fractures of the both humeral heads and necks, reverse Hill-Sachs lesions, complete subscapularis rupture on the left shoulder, and HAGL lesion on the right shoulder. We performed open reduction internal fixation of fractures, repair of subscapularis, and repair of HAGL lesion. At six month, the patient showed excellent outcome gleno-humeral ligament [6]. The lesion of anterior glenohumeral ligaments is usually associated to lesions of other stabilizing structures of the shoulder: labrum (Bankart lesion), cuff tear, biceps lesions (SLAP), and lesion of the capsule or combined injuries of more than one glenohumeral ligament [7-12] ABSTRACTPost-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

the HAGL lesion requires the presence of a joint effusion or the use of MRA. Summary of Literature of HAGL Lesion Repair There is no single physical examination finding that will assist the surgeon to diagnose a HAGL lesion versus the more commonly found Bankart lesion and capsular laxity. Rather, the lesion is diagnosed on preoperative MR Adequate visualization of the HAGL lesion was obtained with the 70° arthroscope with the arm internally rotated. The HAGL lesion was repaired with a suture anchor placed at the humeral insertion of the IGHL through an anteroinferior portal. Additional repair was also performed for Bankart lesion and rotator cuff tear 27. Richards DP, Burkhart SS. Arthroscopic humeral avulsion of the glenohumeral ligaments (HAGL) repair. Arthroscopy 2004;20 Suppl 2:134-141. 28. Spang JT, Karas SG. The HAGL lesion: An arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments. Arthroscopy 2005;21:498-502. 29. Bhatia DN, de Beer JF humeral ligament (HAGL) lesions treated by Bankart repair (open or arthroscopic) may result in unsatisfac-tory outcomes.1,6 In those cases with bony defects, ligamentous insufficiency, HAGL lesion, or previous failure of Bankart repair, the Latarjet procedure, which includes the transfer of the coracoid process (Fig.3).Thearthroscopewasthenplacedintothesubacromialspace andanaccessoryanterolateral,accessoryposterolateralportaland theportofWilmingtonwereestablished(Fig.4)

Humeral avulsions of the inferior glenohumeral ligament (IGHL) or HAGL lesions are uncommon but well-recognized contributors to shoulder instability [ 5 , 30 ]. Between 1 and 9% of patients with traumatic shoulder instability display a HAGL Mini-open repair technique of HAGL (humeral avulsion of the. This article describes a limited open technique to repair humeral avulsions of the glenohumeral ligament (HAGL). The main feature of this technique is th HAGL Lesions Typically, unstable shoulders are a result of a traumatic tear of the labrum off the shoulder socket. HAGL ( H umeral a ttachment of the g lenohumeral l igaments) lesions refer to a rarel pattern of shoulder instability in which the labrum remains attached to the socket and the ligaments actually tear directly under the ball Arthroscopic Repair of a Combined HAGL Lesion and Full-Thcikness Subscapularis Tendon Rupture . Greene RT, Karas SG. Arthroscopic Repair of a Combined HAGL Lesion and Full-Thcikness Subscapularis Tendon Rupture: Literature Review and Arthroscopic Technique. Submitted to Arthroscopy August 200

HAGL and Reverse HAGL Lesions | SpringerLinkMRI Musculo-Skeletal Section: Bankart and variants

HAGL Injury ShoulderDo

HAGL. Increased signal was also noted in the posterior labrum, which was thought to be related to the HAGL. No other abnormal-ities were observed. Arthroscopy revealed an anterior Bankart lesion and a small Hill-Sachs lesion. In addi - tion, an intrasubstance tear of the inferior gle - nohumeral ligament complex in line with th A recent study, based on a cadaver model, reports no alteration of shoulder kinematics with small HAGL lesions (18.4 ± 1.8 mm) compared to a normal shoulder, whereas large HAGL lesions (36.8 ± 3.6 mm) increase ROM and glenohumeral translation in the scapular and coronal plane, conditions that are restored after HAGL lesion repair

- bankart lesion fixation techniques: - note that in patients undergoing anterior shoulder reconstruction for anterior instability, the finding of a normal labrum should alert the surgeon to the possibility of a HAGL lesion (humeral avulsion of the glenohumeral ligament) HAGL lesion - Open repair 2) Contact Athlete with a labral tear 1) Open stabilisation i. If Posterior labral tear only - Arthroscopic Repair ii. In season professional wanting to play again early but accepting a slightly higher re-injury rate - Arthroscopic stabilisation with posterio Purpose. HAGL (Humeral Avulsion of the Glenohumeral Ligament) lesion is one of the causes of anterior shoulder instability. It is important to detect HAGL lesion in the preoperative imaging before surgery, because the procedure for HAGL repair is totally different to that of Bankart lesion A HAGL lesion (19a) is humeral avulsion of the glenohumeral ligament that occurs from shoulder dislocation, with avulsion of the inferior glenohumeral ligament from the anatomic neck of the humerus. A BHAGL is a bony HAGL, or a HAGL lesion that involves a bone fragment A repair using anchors placed in the humeral neck is more likely to restore the normal restraint to anterior translation than a juxtachondral repair. Clinical Relevance: Medium HAGL lesions are unlikely to show significant increases in joint translation, and repair of large HAGL lesions should be achieved with anchors placed in the humeral neck.

A Hill-Sachs lesion, or Hill-Sachs impaction fracture, is an injury to the back portion of the rounded top of your upper arm bone (humerus). This injury occurs when you dislocate your shoulder. It. HAGL lesions and repair was best achieved with attachment of the capsule approximately 10mm below the chondral neck onto the medial humeral neck [21]. Surgical repair of the capsular lesion has been recommended, and this can be performed through arthroscopic, miniopen or full open techniques. Open surgical repair involves a deltopectoral approac HAGL Lesion. The humeral avulsion of glenohumeral ligament (HAGL) lesion is a less commonly encountered abnormality, occurring in up to 9% of patients who underwent surgical intervention for anterior shoulder instability (53,54)

Shoulder instabilityShoulder Dislocations | eOrthopodAlpsa mri shoulder image - images chakras human body kubanClassification of Bankart and Bankart variant lesionsPerthes lesion | Radiology Reference Article | RadiopaediaArthroscopic Bankart Repair: Accessory Posterior PortalAn Overview of Shoulder Instability and its Management

While reports of clinical outcomes following HAGL repair are limited, some authors have advocated for open repairs of HAGL lesions. A recent systematic review of the literature by Longo et al revealed the majority of shoulders with HAGL lesions (33 of 42, 78%) were treated with arthroscopic techniques with no instances of recurrence WOS: 000400001300022PubMed: 28335687Post-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 EorroR IN a-u~F port of our oum:ach dfort. our group HAGL. ,5 opcn 10 all HaslingsslooenlS and is anoflie, alsloocnlorganizauon. Our. [PDF] 2011/148208 Al o 202