HAGL lesion

Case contributed by Dr Domenico Nicoletti

Presentation

Left shoulder recurrent anterior dislocation in judo athlete.

Patient Data

Age: 20 years
Gender: Female
MRI

MR arthrogram left shoulder

The inferior glenohumeral ligament is torn at the humeral insertion with extra articular contrast leakage.

The inferior glenohumeral ligament is lax and edematous and assumes a J-shaped appearance (J sign).

Case Discussion

Humeral avulsion of the glenohumeral ligament (HAGL) is the avulsion of the inferior glenohumeral ligament (IGHL) from its humeral insertion.

It can lead to traumatic anterior shoulder instability.

HAGL most often results from anterior shoulder dislocation due to forced hyperabduction and external rotation of the arm.


 

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Case information

rID: 61689
Published: 14th Jul 2018
Last edited: 17th Jul 2018
Inclusion in quiz mode: Included

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