Mar 26, 2023 · 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.

Jul 27, 2023 · Humeral avulsion of the glenohumeral ligament most often results from anterior shoulder dislocation due to forced hyperabduction and external rotation of the arm 6. MRI is the modality of choice for the assessment of HAGL, especially as the finding may be difficult to diagnose on arthroscopy.

Recognizing that a patient has a humeral avulsion of glenohumeral ligaments (HAGL) is a key to successful treatment of shoulder instability. In many cases, a patient with a shoulder that frequently pops out of the joint has more than one type of damage to the soft tissue structures.

This is an injury that is probably associated with a higher risk of recurrent dislocations than a Bankart tear. A HAGL tear can be difficult to diagnose and should always be suspected. It is impossible to see on a plain MRI scan and a MR-Arthrogram or CT-Arthrogram is better.

The HAGL lesion is now a well-recognized cause for recurrent anterior shoulder instability. HAGL lesions respond poorly to nonoperative management, and functional outcomes appear to be good for patients undergoing either open or arthroscopic management.

Sep 12, 2022 · A HAGL lesion can affect any of the segments of the glenohumeral ligament: superior (SGHL), medial (MGHL), and inferior (IGHL) – comprised of the anterior inferior (AIGHL) and posterior inferior (PIGHL).

Garcia repairs your HAGL lesion through small arthroscopic portal incisions. He places anchors in the humerus and repairs the torn issues back with sutures. After completing the repair, the torn glenohumeral ligament retains its tension and can support the shoulder.

Mar 28, 2023 · HAGL occurs when the glenohumeral ligament (which attaches the humerus bone to the shoulder blade) is torn off from the bone. This can happen as a result of a traumatic injury, such as a fall or a direct blow to the shoulder.

Apr 4, 2025 · Outcomes following arthroscopic repair of humeral avulsion of the glenohumeral ligament (HAGL) lesion: a systematic review. J Clin Orthop Trauma. 2023;41:102166. https:// doi. org/ 10. 1016/ j. jcot. 2023. 102166. CrossRef PubMed PubMedCentral. 41. go back to reference Domos P, Gokaraju K, Walch G. Long-term outcomes after the open latarjet ...

Humeral avulsion of the glenohumeral ligament (HAGL) is a traumatic lesion of the inferior glenohumeral ligament (IGHL), which occurs at its humeral insertion or in mid-portion (in opposition to GAGL, which is found at the glenoid insertion of IGHL).