What is a HAGL lesion?
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.
What is HAGL?
Humeral avulsion of the glenohumeral ligament (HAGL) is, as the name suggests, avulsion of the inferior glenohumeral ligament (IGHL) from its humeral insertion. It can be associated with a bony avulsion fracture in which case it is referred to as bony humeral avulsion of the glenohumeral ligament (BHAGL lesion).
Which lesion is a type of inferior glenohumeral ligament tear?
Humeral avulsion of the inferior glenohumeral ligament (The HAGL lesion).
What is humeral avulsion of glenohumeral ligament?
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.
What causes a HAGL lesion?
Humeral avulsion of the glenohumeral ligament (HAGL) is defined as an avulsion (tearing away) of the inferior glenohumeral ligament from the anatomic neck of the humerus. In other words, it occurs when we have disruption of the ligaments that join the humerus to the glenoid.
What causes HAGL?
How are HAGL lesions treated?
Some HAGL tears can be repaired by arthroscopy, but often an open surgical repair is better to access it properly.
- HAGL tear.
- Once the portals are established, the HAGL tear is identified.
- A suture anchor is placed into the medial humeral neck via a percutaneous portal through the subscapularis muscle.
What is Remplissage procedure?
Remplissage is an arthroscopic procedure that insets the posterior shoulder capsule and infraspinatus tendon into the Hill-Sachs defect, converting the intra-articular location of the defect to an extra-articular one.
How do SLAP lesions occur?
A SLAP lesion is mainly caused by a fall on an outstretched arm where there is an important superior compression on the labrum which causes a tear of the labrum. A typical symptom is intermittent pain that also occurs in overhead movements.