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Anterior Instability: Arthroscopic HAGL Repair

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Advanced Techniques in Shoulder Arthroscopy
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Abstract

Humeral avulsion of glenohumeral ligaments (HAGL) is much less common than labral injuries following anterior shoulder dislocation, but this pathology may contribute to recurrent instability. Therefore, surgical repair of these lesions is generally recommended. Due to the inferolateral attachment of the inferior glenohumeral ligament (IGHL) on the humeral neck, the arthroscopic treatment of HAGL lesions is technically challenging and demanding. Advantages of this technique over other arthroscopic and open procedures include better visualization and anatomic fixation of the avulsed IGHL with minimal invasiveness.

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Recommended Literature

  1. Fritz EM, Pogorzelski J, Hussain ZB, Godin JA, Millett PJ. Arthroscopic repair of a humeral avulsion of the glenohumeral ligament lesion. Arthrosc Tech. 2017:e1–6. https://doi.org/10.1016/j.eats.2017.04.008.

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  3. Southgate DFL, Bokor DJ, Longo UG, Wallace AL, Bull AMJ. The effect of humeral avulsion of the glenohumeral ligaments and humeral repair site on joint laxity: a biomechanical study. Arthroscopy. 2013;29(6):990–7. https://doi.org/10.1016/j.arthro.2013.02.021.

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Altintas, B., Godin, J.A., Fritz, E.M., Millett, P.J. (2019). Anterior Instability: Arthroscopic HAGL Repair. In: Millett, P., Pogorzelski, J. (eds) Advanced Techniques in Shoulder Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-13503-4_12

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  • DOI: https://doi.org/10.1007/978-3-030-13503-4_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13502-7

  • Online ISBN: 978-3-030-13503-4

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