What is HAGL repair?
In summary, arthroscopic or open surgical HAGL repair is a reasonable treatment option for patients with humeral avulsion tears of the IGHLs wishing to avoid recurrent instability and pain. The advantages of an all-arthroscopic technique may include better cosmetic outcome and faster rehabilitation.
Does HAGL lesion require surgery?
Surgery is often recommended for young, active individuals after the first dislocation with a HAGL injury because young patients have a high (80 percent or greater) likelihood of recurrent dislocations.
What is the HAGL?
HAGL = Humeral Avulsion Glenohumeral Ligament. The capsule of the shoulder joint, which contains the Inferior Glenohumeral Ligament is ripped off the humerus with dislocation of the shoulder. This is an injury that is probably associated with a higher risk of recurrent dislocations than a Bankart tear.
How do you fix a HAGL lesion?
HAGL lesions can be repaired with open or arthroscopic techniques. Both are safe, reproducible, and effective at re-establishing the inferior glenohumeral ligament complex. In addition to typical patients with anterior instability symptoms, this lesion should be evaluated and treated in overhead athletes.
What is a HAGL lesion shoulder?
Humeral Avulsion of the Glenohumeral Ligament (HAGL) is an injury to the inferior glenohumeral ligament causing instability and/or pain and a missed cause of recurrent shoulder instability.
What is Hill-Sachs defect?
A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you’ve experienced a dislocated shoulder. In this case, the arm bone slips out of the socket and is compressed against the socket’s rim.
What is a Bennett lesion?
A Bennett lesion is a bony spur at the posterior glenoid that is often seen in baseball players and usually asymptomatic. However, it sometimes becomes painful, but the mechanism of throwing pain is still unknown.
What causes a HAGL lesion?
Humeral avulsion of the glenohumeral ligament (HAGL) is defined as an avulsion (tearing away) of the inferior glenohumeral ligament from the anatomic neck of the humerus. In other words, it occurs when we have disruption of the ligaments that join the humerus to the glenoid.
How do you treat Hill-Sachs lesions?
For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been affected, physical therapy, or careful observation may be an effective option. For more severe cases and larger lesions, surgery is likely your best option for healing.
How is an abdominal aortic aneurysm open repair done?
A large incision is made in the abdomen to directly visualize the abdominal aorta and repair the aneurysm. A cylinder-like tube called a graft may be used to repair the aneurysm. Grafts are made of various materials such as: This graft is sewn to the aorta, connecting one end of the aorta at the site of the aneurysm to the other end.
What are the risks of open surgery for AAA?
These risk factors are discussed below. (See ‘Medical risk assessment’ below.) Relative contraindications to open surgical repair of AAA in the era of endovascular aneurysm repair may include the following: hostile abdomen, obesity, major cardiac or pulmonary comorbidities, and limited life expectancy.
How is an aorta graft used in open thoraco-abdominal surgery?
When performing open thoraco-abdominal surgery, it is required to make an incision in both the chest and abdomen, and insert a graft into the damaged aorta. The surgeon will then splice the tube and sew it to the healthy aorta. Blood flow now goes through the graft instead of the aneurysm.
How big is an abdominal aortic aneurysm ( AAA )?
The indications for repair of abdominal aortic aneurysm (AAA) are discussed in detail elsewhere and include symptomatic aneurysm of any size (eg, abdominal, back or flank pain, evidence of embolization, frank rupture), asymptomatic aneurysm ≥5.5 cm [3,4], rapidly expanding AAA, AAA associated with other arterial disease, infected AAA, and
