Chapter 3 Instability
CHAPTER 3 | Instability
FIGURE 3-93 HAGL lesion. The subscapularis muscle (SSc) is visible through the rent in the capsule. H, humeral head.
FIGURE 3-95 Repaired HAGL lesion (*) and Bankart lesion. G, glenoid; H, humeral head.
■ Shoulder now hurts continuously, and the patient says that he “cannot trust it.”
The Cowboy’s Conundrum: HAGL Lesion in Extreme Inferior Location (5:30 to 6:30) The Surgeon’s Solution: Arthroscopic HAGL Repair through PosteroinferiorWorking Portal History: ■ An 18-year-old male was wrestling 6 months ago with a friend, who twisted his right arm. He felt severe pain and a pop.
Physical Exam: ■ Full range of motion and normal strength
■ Apprehension in abduction and external rotation ■ Apprehension with combined forward flexion, adduc- tion, and internal rotation
Imaging: ■ X-rays are normal. ■ MRI scan suggests HAGL lesion (Fig. 3-97).
FIGURE 3-94 Repaired Bankart lesion. G, glenoid; H, humeral head.
FIGURE 3-96 View of completed HAGL repair (*) and Bankart repair. H, humeral head.
Made with FlippingBook - Online magazine maker