What is the SGHL?

What is the SGHL?

The SGHL is a focally thickened band in the glenohumeral joint capsule. It originates from the supraglenoid tubercle anterior to the LHBT attachment, and inserts into the fovea capitis line superior to the lesser tuberosity of the bicipital sulcus (13, 15). Thus, it contributes to the biceps pulley.

What is a HAGL lesion?

Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion associated with anterior shoulder instability. Although uncommon, HAGL lesions are a significant contributor to shoulder pain and dysfunction and, if missed, can even be a cause of failed Bankart repair.

What are the 3 glenohumeral ligaments?

Glenohumeral ligaments- Composed of a superior, middle, and inferior ligament, these three ligaments combine to form the glenohumeral joint capsule connecting the glenoid fossa to the humerus.

What does the Coracohumeral ligament do?

The coracohumeral ligament is a broad ligament which strengthens the upper part of the capsule of the shoulder joint.

What is the Coracoacromial ligament?

The coracoacromial ligament (CAL) connects the acromion and coracoid process of the scapula, forming an osseoligamentous static restraint to superior humeral head displacement.

What is Buford complex?

A Buford complex, found in 1.5% of individuals, is the absence of the anterior superior labrum in conjunction with a thickened cord-like middle glenohumeral ligament. A Buford complex can be confused with a sublabral foramen or pathologic labral detachment.

How do you repair a HAGL lesion?

Some HAGL tears can be repaired by arthroscopy, but often an open surgical repair is better to access it properly.

1. HAGL tear.
2. Once the portals are established, the HAGL tear is identified.
3. A suture anchor is placed into the medial humeral neck via a percutaneous portal through the subscapularis muscle.

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 is the acromioclavicular ligament?

This ligament is a quadrilateral band, covering the superior part of the articulation, and extending between the upper part of the lateral end of the clavicle and the adjoining part of the upper surface of the acromion.

What are capsular patterns?

A capsular pattern is a joint-specific pattern of restriction. of passive movements. It indicates the existence of a contraction of the joint capsule.

How do you stretch the coracohumeral ligament?

Stretching positions of the coracohumeral ligament in which significantly larger strains were obtained were 0° elevation with 40°, 50° and maximum passive external rotation, 30° extension with 50° and maximum external rotation, and 30° extension + adduction with 30°, 40°, 50° and maximum external rotation.

What does the coracohumeral ligament limit?

Background. Contracture of the coracohumeral ligament is reported to restrict external rotation of the shoulder with arm at the side and restrict posterior-inferior shift of the humeral head. The contracture is supposed to restrict range of motion of the glenohumeral joint.