Treatment of a Reverse Hill Sachs Lesion and Posterior HAGL Lesion Labrum Repair

Chronic posterior glenohumeral joint instability can be a challenging clinical entity for patients and surgeons alike. In the setting of a posterior dislocation, a large anterior humeral impaction injury (reverse Hill-Sachs [HS]) may occur, leading to engagement of the humerus with the posterior glenoid bone, especially during internal rotation of the joint. This is made [...]

Open Repair of an Anterior Humeral Avulsion of the Glenohumeral Ligament (HAGL)

A Humeral Avulsion of the Glenohumeral Ligament, or HAGL lesion, is an uncommon yet disabling shoulder injury, which leads to complaints of pain and overall inability to properly use the shoulder from patients. While a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. Often, these can be [...]

Arthroscopic Labral Repair in the Setting of Recurrent Posterior Shoulder Instability

Posterior shoulder instability is becoming more commonly recognized and is a problem with the posterior labrum (usually a tear) that can cause pain, dysfunction, and limitation of shoulder activity.  Nonoperative management is the mainstay of treatment, including scapular stabilizing exercises, however, in cases that are resistant to a good therapy program, and if pain with [...]