What is a glenohumeral ligament injury?
HAGL = Humeral Avulsion Glenohumeral Ligament. The capsule of the shoulder joint, which contains the Inferior Glenohumeral Ligament is ripped off the humerus with dislocation of the shoulder. This is an injury that is probably associated with a higher risk of recurrent dislocations than a Bankart tear.
Where is the Ighl?
The inferior glenohumeral ligament (IGHL) complex is comprised of three components supporting the inferior aspect of the shoulder. It consists of an anterior band, a posterior band, and an interposed axillary pouch.
How long does a HAGL repair take?
Immobilization in a sling for six weeks following surgery allows the torn capsule and ligaments to heal in proper position. By approximately four to six months following surgery, the repair site has healed and shoulder motion, strength and function are restored to allow a full return to activities.
What is humeral avulsion?
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 are the glenohumeral ligaments?
Glenohumeral Ligaments (GHL): In the shoulder, the joint capsule is formed by a group of ligaments that connect the humerus to the glenoid. These ligaments are the main source of stability for the shoulder. They are the superior, middle and inferior glenohumeral ligaments.
What is a HAGL repair?
HAGL, humeral avulsion of the glenohumeral ligament. In summary, arthroscopic or open surgical HAGL repair is a reasonable treatment option for patients with humeral avulsion tears of the IGHLs wishing to avoid recurrent instability and pain.
How do you get a HAGL lesion?
HAGL lesions are typically thought to occur from acute trauma to the shoulder with the humerus in a position of hyperabduction and external rotation. This stresses the anterior-inferior capsuloligamentous structures and can lead to acute subluxation, luxation or dislocation.
Which lesion is a type of inferior glenohumeral ligament tear?
Humeral avulsion of the inferior glenohumeral ligament (The HAGL lesion).
How do they repair a labral tear in shoulder?
Shoulder labrum reconstruction is a surgical technique recommended for treating labral tears. Labrum repair can be done using minimally invasive technique or open surgery. In this procedure the torn labrum is reattached to the rim of the bone using anchor sutures along with tightening of the capsules and ligaments.
How do you fix a labral tear in the shoulder?
The best way to do this is with arthroscopic surgery since this area is difficult to reach with an open operation through a large incision. Using the arthroscope and small incisions for other instruments, the labrum can be reattached to the rim of the socket using either sutures or tacks.
What causes thickening of the inferior glenohumeral ligament?
The inferior glenohumeral ligament appears thickened in shoulders with capsular contracture. Capsular contracture ultrasound features can be associated with other rotator cuff problems.
How is the inferior glenohumeral ligament (ighl) complex evaluated?
Imaging recommendations for the evaluation of the IGHL complex include magnetic resonance imaging (MRI), and injuries to this complex are best visualized with magnetic resonance arthrography. Additionally, a brief description of clinical management of inferior glenohumeral ligament injuries is included.
How is an ighl tear diagnosed?
In making the diagnosis of an IGHL tear, one would attempt to identify a complete tear of the fibers or a complete avulsion from the fiber attachment site. An avulsion of the fibers can occur either from the glenoid attachment or humeral attachments.
What is floating/anterior inferior glenohumeral ligament avulsion aighl?
Floating/Anterior inferior glenohumeral ligament injury Floating/Anterior inferior glenohumeral ligament avulsion AIGHL Anterior ligamentous periosteal sleeve avulsion ALIPSA REFERENCES 1. Wolf EM, Cheng JC, Dickson K. Humeral avulsion of glenohumeral ligaments as a cause of anterior shoulder instability.
What does ighl stand for?
Inferior Glenohumeral Ligament (IGHL) Injuries: A Case Series of Magnetic Resonance (MR) Imaging Findings and Arthroscopic Correlation NCBI Skip to main content Skip to navigation Resources How To About NCBI Accesskeys My NCBISign in to NCBISign Out PMC US National Library of Medicine