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 · Bankart lesion and/or anterior labral injuries. Classification. West Point classification of humeral avulsion of the glenohumeral ligament. Radiographic features MRI. MRI is the modality of choice for the assessment of HAGL, especially as the finding may be difficult to diagnose on arthroscopy.

In this article, orthopedic surgeons from an orthopedic center and a university review the diagnosis and treatment of humeral avulsion glenohumeral ligament (HAGL) lesions. What are HAGL lesions, you say? The word humeral tell us the shoulder is involved because the humerus is your upper arm bone. At the top of the humerus is the

The HAGL lesion is an important cause of anterior instability at the glenohumeral joint. Because this abnormality may be overlooked in patients undergoing shoulder stabilization procedures, pre-operative diagnosis with MRI is invaluable in the proper management of affected patients.

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. [1] In other words, it occurs when we have disruption of the ligaments that join the humerus to the glenoid .

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.

HAGL lesions are a common source of instability and frequently present with concomitant injuries of the shoulder. Untreated, they can lead to recurrent instability. This updated systematic review shows that HAGL lesions appear to respond well to surgery with low complication rates.

Apr 5, 2025 · Purpose of review: This review aims to synthesize current knowledge on humeral avulsion of the glenohumeral ligament (HAGL) lesions, emphasizing clinical presentation, operative indications, and surgical outcomes. Recent findings: HAGL lesions play an important role in shoulder instability, occurring in 7.5%-9.4% of surgically treated cases, with a high propensity to cause recurrent ...

Sep 13, 2022 · HAGL lesions commonly present with associated injuries, necessitating a high clinical awareness of their presentation and management options to prevent undiagnosed lesions that can lead to persistent instability and pain. Surgical …

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.