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Glenoid avulsion of the glenohumeral ligament (GAGL): a case report and review of the anatomy. Skeletal Radiol 2016 Oct;45(10):1443-8

Date

08/10/2016

Pubmed ID

27502624

DOI

10.1007/s00256-016-2449-9

Scopus ID

2-s2.0-84981210653 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Shoulder dislocations are frequently seen in the general population and can be a cause of instability. Instability can lead to debilitating symptoms and morbidity as a result of progressive damage to the shoulder. Anterior shoulder dislocations are the most frequent type of dislocations and have been studied extensively with MRI. The soft tissue Bankart lesion is the most well-known entity associated with anterior instability; however, additional structural lesions arising from traumatic events have been described in recent literature which also predispose to anterior shoulder instability. One of these lesions, the glenoid avulsion of the glenohumeral ligament (GAGL), involves avulsion of the inferior glenohumeral ligament from the glenoid and involves separation from an intact labrum. In contrast to the Bankart lesion, there has been limited discussion of the GAGL lesion in the literature and very few imaging examples. We report a case of a GAGL diagnosed on MRI and confirmed with arthroscopy. It is discussed in the context of the anatomy of the inferior glenohumeral ligament and the imaging findings.

Author List

Mannem R, DuBois M, Koeberl M, Kosempa D, Erickson S

Authors

Melissa S. DuBois MD Associate Professor in the Radiology department at Medical College of Wisconsin
Scott J. Erickson MD Professor in the Radiology department at Medical College of Wisconsin
Rajeev Mannem MD Chief, Associate Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Diagnosis, Differential
Humans
Ligaments, Articular
Male
Shoulder Dislocation
Shoulder Injuries
Shoulder Joint
Wrestling