OCAD MSK

History

75 y/o s/p dislocation

Figure 1 for case HAGL lesion and rotator cuff tears — Figure 1

Figure 2 for case HAGL lesion and rotator cuff tears — Figure 2

Figure 3 for case HAGL lesion and rotator cuff tears — Figure 3

Figure 4 for case HAGL lesion and rotator cuff tears — Figure 4

Figure 5 for case HAGL lesion and rotator cuff tears — Figure 5

Figure 6 for case HAGL lesion and rotator cuff tears — Figure 6

Discussion

Dislocation pathology is typically different in older patients than younger patients. The great majority of first time dislocators under the age of 40 suffer a bankart lesion (avulsion of the labral ligamentous complex on the glenoid side). Older folks often suffer a rotator cuff tear including the supraspinatus or subscapularis (or both). This patient had an SST tear but in addition also has a HAGL lesion (humeral avulsion of the glenohumeral (IGHL) ligament). She also has subscapularis partial tearing associated with a near complete dislocation of the biceps (findings that I think were preexisting). Reference article.

Diagnosis

HAGL lesion and rotator cuff tears

Phillip Tirman MD

Courtesy

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