Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 853-858 , September 2010

Posterior shoulder instability secondary to reverse humeral avulsion of the glenohumeral ligament

  • Desmond J. Bokor, MBBS, MHEd, FRACS, FAOrthA

      Affiliations

    • Department of Orthopaedics, Australian School of Advanced Medicine, Macquarie University, Sydney, Australia
    • ,
  • Brett A. Fritsch, MBBS, FRACS

      Affiliations

    • Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, Australia
    • Corresponding Author InformationReprint requests: Brett A Fritsch, MBBS, FRACS, c/o Associate Professor Desmond Bokor, Chairman, Department of Orthopaedics, Australian School of Advanced Medicine, Macquarie University, NSW 2109 Australia.

References 

  1. Abrams JS. Arthroscopic repair of posterior instability and reverse humeral glenohumeral ligament avulsion lesions. Orthop Clin North Am. 2003;34:475–483
  2. Antoniou J, Harryman DT. Posterior instability. Orthop Clin North Am. 2001;32:463–473
  3. Bokor DJ, Conboy VB, Olson C. Anterior instability of the glenohumeral joint with humeral avulsion of the glenohumeral ligament. A review of 41 cases. J Bone Joint Surg (Br). 1999;81:93–96
  4. Brown T, Barton S, Savoie FH. Reverse humeral avulsion glenohumeral ligament and infraspinatus rupture with arthroscopic repair. Am J Sports Med. 2007;35:2135–2139doi:10.1177/0363546507305012
  5. Castagna A, Snyder SJ, Conti M, Borroni M, Massazza G, Garafolo R. Posterior humeral avulsion of the glenohumeral ligament: A clinical review of 9 cases. Arthroscopy. 2007;23:809–815doi:10.1016/j.arthro.2007.02.006
  6. Chhabra A, Diduch DR, Anderson M. Arthroscopic repair of a posterior humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion. Arthroscopy. 2004;20:73–76doi:10.1016/j.arthro.2003.11.012
  7. Chung CB, Sorenson S, Dwek JR, Resnick D. Humeral avulsion of the posterior band of the inferior glenohumeral ligament: MR arthrography and clinical correlation in 17 patients. AJR. 2004;183:355–359
  8. Field LD, Bokor DJ, Savoie FH. Humeral and glenoid detachment of the anterior inferior glenohumeral ligament: A cause of anterior shoulder instability. J Shoulder Elbow Surg. 1997;6:6–10
  9. Harish S, Nagar A, Moro J, Pugh D, Rebello R, O'Neill J. Imaging findings in posterior instability of the shoulder. Skeletal Radiology. 2008;37:693–707doi: 10.1007/s00256-008-0487-7
  10. Hasan SS, Fleckenstein C, Albright J. Open treatment of posterior humeral avulsion of the glenohumeral ligaments: A case report and review of the literature. J Shoulder Elbow Surg. 2007;16:3–5
  11. Hill JD, Lovejoy JF, Kelly RA. Combined Posterior Bankart Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligaments Associated With Recurrent Posterior Shoulder Instability. Arthroscopy. 2007;23:327.e1–327.e3doi:10.1016/j.arthro.2005.09.026
  12. Hottya GA, Tirman PF, Bost FW, Montgomery WH, Wolf EM, Genant HK. Tear of the posterior shoulder stabilisers after posterior dislocation:MR imaging and MR arthrographic findings with arthroscopic correlation. AJR. 1998;171:763–768
  13. Laurencin CT, Paletta GA, Potter H, Wickiewicz TL. Disruption of the posterior-lateral shoulder capsule. J Shoulder Elbow Surg. 1995;4:391–394
  14. Safran O, DeFranco M, Hatem S, Ianotti JP. Posterior humeral avulsion of the glenohumeral ligament as a cause of posterior shoulder instability: A case report. J Bone Joint Surg (Am). 2004;86:2732–2736
  15. Wolf EM, Cheng JC, Dickson K. Humeral avulsion of the glenohumeral ligaments as a cause of anterior shoulder instability. Arthroscopy. 1995;11:600–607

 This research project was complied with all ethics guidelines as required by the Australian School of Advanced Medicine. For this retrospective review consent was obtained from all patients, and all information was de-identified.

PII: S1058-2746(10)00059-5

doi: 10.1016/j.jse.2010.01.026

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 853-858 , September 2010

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