Treatment of the ‘The Naked Humeral Head’: Repair of Supraspinatus Avulsion, Subscapularis Tear, and Humeral Avulsion of the Glenohumeral Ligament

A humeral avulsion of the glenohumeral ligament, or HAGL, lesion is a rare yet debilitating shoulder injury, which can lead to recurrent instability, pain, and overall shoulder dysfunction. The diagnosis is often difficult, requiring both high clinical suspicion, as well as identification on magneti...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2022-11, Vol.11 (11), p.e2103-e2111
Main Authors: Liles, Jordan L., Fossum, Bradley W., Mologne, Mitchell, Su, Charles A., Godin, Jonathan A.
Format: Article
Language:English
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Technical Note
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Summary:A humeral avulsion of the glenohumeral ligament, or HAGL, lesion is a rare yet debilitating shoulder injury, which can lead to recurrent instability, pain, and overall shoulder dysfunction. The diagnosis is often difficult, requiring both high clinical suspicion, as well as identification on magnetic resonance imaging. In patients with an anterior HAGL, repair often requires an open approach. In extremely rare circumstances, the initial traumatic event that causes a HAGL can also cause disruption of the supraspinatus and subscapularis insertions on the humeral head. We have termed this the “naked humeral head”. The purpose of this technical note is to describe our preferred technique to surgically treat the naked humeral head by repairing a supraspinatus avulsion fracture, HAGL lesion, and complete subscapularis tear. [Display omitted]
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2022.08.010