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Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions.

作者信息

Aman Zachary S, Kennedy Mitchell I, Sanchez Anthony, Krob Joseph J, Murphy Colin P, Ziegler Connor G, Provencher Matthew T

机构信息

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

The Steadman Clinic, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2018 Nov 19;7(12):e1281-e1287. doi: 10.1016/j.eats.2018.08.015. eCollection 2018 Dec.


DOI:10.1016/j.eats.2018.08.015
PMID:30591875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6305904/
Abstract

Anterior shoulder instability often results from avulsion of the anterior inferior glenohumeral ligament (aIGHL) off its insertion on the glenoid, yielding a Bankart lesion. Although less common, avulsion of the ligament attachment to the humerus results in a humeral avulsion of the glenohumeral ligament (HAGL) lesion. Combined Bankart and HAGL lesions, also termed the "floating aIGHL," create a complex pathology that is not detailed significantly in the literature. We believe a mini-open approach is a viable and reproducible procedure for treatment because it allows for protection of the axillary nerve and other neurovascular structures while providing optimal exposure to both the humeral insertion site of the distal aIGHL and the Bankart lesion, ensuring anatomic restoration. The purpose of this Technical Note is to describe our preferred technique to surgically treat the floating aIGHL, consisting of an anterior HAGL and concomitant Bankart lesion repair through a mini-open approach.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/5575ef5c33ef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/cc41530a54c6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/d22af2c195c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/dcb85e08567e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/14cd4e11e0a5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/5575ef5c33ef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/cc41530a54c6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/d22af2c195c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/dcb85e08567e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/14cd4e11e0a5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd7/6305904/5575ef5c33ef/gr5.jpg

相似文献

[1]
Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions.

Arthrosc Tech. 2018-11-19

[2]
The Original Mini-Open Technique for Repair of Humeral Avulsion of the Glenohumeral Ligament.

Arthrosc Tech. 2020-11-16

[3]
Humeral Avulsion of the Glenohumeral Ligament: Indications for Surgical Treatment and Outcomes-A Systematic Review.

Orthop J Sports Med. 2017-8-14

[4]
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Arthrosc Tech. 2017-7-31

[5]
Dual-window subscapularis-sparing approach: a new surgical technique for combined reconstruction of a glenoid bone defect or bankart lesion associated with a HAGL lesion in anterior shoulder instability.

Tech Hand Up Extrem Surg. 2012-3

[6]
Humeral avulsion of glenohumeral ligaments as a cause of anterior shoulder instability.

Arthroscopy. 1995-10

[7]
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[8]
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[9]
The safety and efficacy of 2 anterior-inferior portals for arthroscopic repair of anterior humeral avulsion of the glenohumeral ligament: cadaveric comparison.

J Shoulder Elbow Surg. 2022-7

[10]
Open Repair of an Anterior Humeral Avulsion of the Glenohumeral Ligament.

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引用本文的文献

[1]
Surgical Management of Humeral Avulsion of the Glenohumeral Ligament Injuries: Indications, Treatment Strategies, and Outcomes.

Curr Rev Musculoskelet Med. 2025-4-4

[2]
Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position.

Arthrosc Tech. 2024-3-6

[3]
Case report: unusual posteromedial capsular lesion with posterior lateral meniscus root tear in two patients with constitutional genu recurvatum presenting after an acute ACL injury.

J Exp Orthop. 2023-12-13

[4]
Arthroscopic Posterior HAGL Repair Using a Direct Transaxillary Portal.

Arthrosc Tech. 2023-6-5

[5]
A Bibliometric Analysis of the Most Cited Research on Humeral Avulsions of the Glenohumeral Ligament: A Paucity of High-Level Evidence.

Arthrosc Sports Med Rehabil. 2023-5-25

[6]
Outcomes following arthroscopic repair of humeral avulsion of the glenohumeral ligament (HAGL) lesion: A systematic review.

J Clin Orthop Trauma. 2023-5-26

[7]
Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion With Capsular Plication in the Lateral Decubitus Position.

Arthrosc Tech. 2021-2-24

[8]
The Original Mini-Open Technique for Repair of Humeral Avulsion of the Glenohumeral Ligament.

Arthrosc Tech. 2020-11-16

本文引用的文献

[1]
Open Repair of an Anterior Humeral Avulsion of the Glenohumeral Ligament.

Arthrosc Tech. 2017-8-21

[2]
Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion.

Arthrosc Tech. 2017-7-31

[3]
Humeral Avulsion of the Glenohumeral Ligament: Indications for Surgical Treatment and Outcomes-A Systematic Review.

Orthop J Sports Med. 2017-8-14

[4]
Humeral Avulsion of the Glenohumeral Ligaments: A Systematic Review.

Arthroscopy. 2016-9

[5]
Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data.

Arch Orthop Trauma Surg. 2015-4

[6]
A large humeral avulsion of the glenohumeral ligaments decreases stability that can be restored with repair.

Clin Orthop Relat Res. 2014-8

[7]
The effect of humeral avulsion of the glenohumeral ligaments and humeral repair site on joint laxity: a biomechanical study.

Arthroscopy. 2013-4-23

[8]
Combined posterior osseous Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments: a case report and pathoanatomic subtyping of "floating" posterior inferior glenohumeral ligament lesions.

J Bone Joint Surg Am. 2011-10-19

[9]
Failed anterior shoulder stabilization.

J Shoulder Elbow Surg. 2011-12

[10]
Humeral avulsion of glenohumeral ligaments.

J Am Acad Orthop Surg. 2011-3

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