Posterior shoulder instability due to isolated reverse HAGL lesion in a young gymnast: A rare mechanism of injury and surgical technique

Joseph Maalouly; Dany Aouad; Rami Ayoubi; Nabil Dib; Georges El Rassi

doi:10.1016/j.tcr.2020.100312

Posterior shoulder instability due to isolated reverse HAGL lesion in a young gymnast: A rare mechanism of injury and surgical technique

Trauma Case Rep. 2020 Jun 24:28:100312. doi: 10.1016/j.tcr.2020.100312. eCollection 2020 Aug.

Authors

Joseph Maalouly¹, Dany Aouad¹, Rami Ayoubi¹, Nabil Dib¹, Georges El Rassi¹

Affiliation

¹ Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon.

Abstract

Humeral avulsion of the inferior glenohumeral ligament (HAGL) is a relatively important cause of shoulder instability, becoming a field of interest in the literature. Reverse HAGL lesions, a rare pathology compared to anterior disruptions; have been documented in only few cases as a notable cause of posterior instability. We describe in detail the mechanism of injury, diagnosis, arthroscopic repair and results.

Keywords: Arthroscopy; Instability; Reverse HAGL; Shoulder.

Publication types

Case Reports