Prevalence of HAGL lesions and associated abnormalities on shoulder MR examination

Skeletal Radiology
Thomas Magee

Abstract

Humeral avulsion of the glenohumeral ligament (HAGL) is an uncommon shoulder injury. We report the prevalence of HAGL lesions and other associated shoulder injuries in a large series of shoulder MR examinations. All results were correlated with surgery. MR reports of 1,000 consecutive conventional shoulder MR exams performed on patients with shoulder pain were reviewed in our information system for the word HAGL. A total of 743 patients went on to surgery. There were 23 HAGL lesions reported at surgery. Those 23 examinations were reviewed retrospectively in consensus by two musculoskeletal radiologists. Scans were assessed for HAGL lesions, full or partial thickness supraspinatus, infraspinatus or subscapularis tendon tears, superior labral anterior posterior (SLAP) tears, anterior or posterior labral tears, and Hill-Sachs lesions. All 23 patients had HAGL lesions at surgery. Sixteen HAGL lesions were seen on prospective MR reading and 17 HAGL lesions were seen on retrospective MR consensus reading. Six HAGL lesions were not seen on retrospective consensus reading. Sixteen patients had Hill-Sachs deformities, ten had subscapularis tendon tears, five had supraspinatus tendon tears, six had superior labral tearing, and six had an...Continue Reading

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Citations

Jan 19, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·P Clavert
Jan 21, 2016·Radiology·Elizabeth A RoyBruce B Forster
Sep 8, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen A ParadaJon J P Warner
Aug 28, 2016·Evidence-based Medicine·Matthijs Paul SomfordDenise Eygendaal
Oct 8, 2015·The American Journal of Sports Medicine·Brian J RebolledoRussell F Warren
Mar 25, 2017·The Physician and Sportsmedicine·Haluk CelikSenol Akman
Nov 19, 2016·Journal of the Belgian Society of Radiology·Nicole PouliartMaryam Shahabpour
Jul 1, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Toygun Kağan ErenUlunay Kanatlı
Aug 6, 2021·Orthopaedic Journal of Sports Medicine·Alon GrundshteinEran Maman

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