Format

Send to

Choose Destination
Knee Surg Sports Traumatol Arthrosc. 2019 Feb 27. doi: 10.1007/s00167-019-05414-5. [Epub ahead of print]

Arthroscopic repair of HAGL lesions yields good clinical results, but may not allow return to former level of sport.

Author information

1
Orthopaedic Department, St. John of God Hospital and University Hospital Geelong, Geelong, Australia. u.schmiddem@contilia.de.
2
Orthopaedic Department, St. John of God Hospital and University Hospital Geelong, Geelong, Australia.
3
Trauma and Orthopaedic Research Unit, Canberra Hospital, Woden, ACT, Australia.
4
Trauma Department, Hanover Medical School, Hanover, Germany.
5
Barwon Centre for Orthopaedic Research and Education (B-CORE), School of Medicine, Deakin University, Geelong, Australia.

Abstract

PURPOSE:

There is a paucity of evidence regarding mid- to long-term clinical outcomes of arthroscopic repair of humeral avulsion of the glenohumeral ligament (HAGL). This study investigated clinical outcomes, return to sport and the frequency of associated shoulder lesions.

METHODS:

Eighteen patients underwent arthroscopic repair of a HAGL lesion between 2008 and 2015. Clinical outcome was evaluated using the Rowe Score, the Quick DASH Score (Q-DASH), the Oxford Shoulder Instability Score (OSIS), the ASES Score and Range of Motion (ROM). Return to sports and associated shoulder lesions were documented.

RESULTS:

Sixteen patients agreed to complete the shoulder scores and nine patients were available for clinical examination. Median time to follow-up was 59 months (range 16-104). The median Rowe Score and Q-DASH Score improved significantly from 33 to 85 points and 61 to 7 points, respectively (p = 0.001, p = 0.001). The median OSIS and ASES Score were 20 and 91 points. External rotation was significantly reduced compared to the contralateral side (p = 0.011). One recurrent dislocation was reported. No neurologic or vascular complications after surgery were reported. Five out of the nine patients did not return to sports at the same level. Associated shoulder lesions were found in 89% of the cases.

CONCLUSION:

Arthroscopic repair of a HAGL lesion is a reliable method to restore shoulder stability with good clinical results. However, limitations in external rotation and a reduction in sporting ability may persist at 59 months follow-up. Concomitant lesions are common.

LEVEL OF EVIDENCE:

Case series, level IV.

KEYWORDS:

Arthroscopy; Concomitant lesions; HAGL lesion; Instability; Outcome; Shoulder; Sports

PMID:
30810787
DOI:
10.1007/s00167-019-05414-5

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center