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Arthroscopic Treatment of HAGL and Reverse HAGL Lesions

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Shoulder Arthroscopy

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Abstract

This chapter discusses humeral avulsions of the glenohumeral ligament (HAGL) lesions, both anterior and posterior. While injuries of the anteroinferior glenoid labrum (Bankart lesions) and of the posteroinferior glenoid labrum (posterior Bankart lesions) are well-recognized, common injuries following traumatic shoulder dislocations and subluxations, HAGL, and posterior HAGL lesions are uncommon and less well-recognized. Although pathophysiology and associated risks are similar, injuries to the capsuloligamentous attachments on the humeral side of the shoulder joint have received less attention when compared to labral injuries. An anterior shoulder dislocation with avulsion of the anterior band of the inferior glenohumeral ligament (IGHL) was first described by Nicola as early as 1942, and it was not until 1995 that Wolf et al. established the term HAGL. Due to advancements in arthroscopy and improved imaging, anterior and posterior HAGL lesions have become increasingly recognized throughout the last decade, leading to a better understanding and treatment of these injuries.

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Author information

Authors and Affiliations

  1. Department of Trauma and Orthopedic Surgery, BG Trauma Center, Ludwigshafen, Germany

    Philip-C. Nolte

  2. Steadman Philippon Research Institute, Vail, CO, USA

    Bryant P. Elrick

  3. Steadman Philippon Research Institute, The Steadman Clinic, Vail, CO, USA

    Peter J. Millett

Authors
  1. Philip-C. Nolte
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  2. Bryant P. Elrick
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  3. Peter J. Millett
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Corresponding author

Correspondence to Peter J. Millett .

Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Nolte, PC., Elrick, B.P., Millett, P.J. (2023). Arthroscopic Treatment of HAGL and Reverse HAGL Lesions. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_20

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_20

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  • Online ISBN: 978-3-662-66868-9

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