Godin Jonathan A, Sanchez George, Kennedy Nicholas I, Ferrari Márcio B, Provencher Matthew T
Steadman Clinic, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2017 Aug 21;6(4):e1367-e1371. doi: 10.1016/j.eats.2017.05.019. eCollection 2017 Aug.
A humeral avulsion of the glenohumeral ligament, or HAGL lesion, is an uncommon yet disabling shoulder injury, which leads to complaints of pain and overall inability to properly use the shoulder from patients. The diagnosis of a HAGL lesion is particularly challenging. To arrive at an accurate diagnosis, the use of a magnetic resonance arthrogram is suggested along with high clinical suspicion. A HAGL lesion may be anterior or posterior. This difference dictates the type of surgical treatment to be undertaken. Although a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. The purpose of this Technical Note is to describe our preferred technique to surgically treat an anterior HAGL lesion through an open approach.
盂肱韧带肱骨撕脱伤(HAGL损伤)是一种罕见但致残的肩部损伤,会导致患者出现疼痛症状以及肩部整体功能障碍,无法正常使用肩部。HAGL损伤的诊断极具挑战性。为了做出准确诊断,建议结合高度的临床怀疑,使用磁共振关节造影。HAGL损伤可能发生在前方或后方。这种差异决定了需要采取的手术治疗方式。虽然后方HAGL损伤可通过关节镜修复,但前方HAGL损伤则需通过开放手术治疗。本技术说明的目的是描述我们通过开放手术治疗前方HAGL损伤的首选技术。