What is a 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 Latarjet shoulder procedure?
This operation is performed to stabilise a shoulder where bone damage has occurred after traumatic shoulder dislocation(s). It is performed under general anaesthesia and nerve block as a day case, or with overnight stay. An incision is made over the front of your shoulder.
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 is a Remplissage?
Remplissage is a French term that means “To Fill the Defect”. Thus in this procedure an additional pair of anchors are placed into the Hill-Sachs lesion and the infraspinatus rotator cuff tendon is repaired into the defect to fill the defect. This serves as a checkrein to prevent any further anterior instability.
Does Hill-Sachs require surgery?
A Hill-Sachs defect that causes the ball to move abnormally within the socket is said to be “engaging,” and these engaging Hill-Sachs injuries usually require surgical treatment.
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.
How do you get a HAGL lesion?
Cadaver studies indicate that under tension, the inferior glenohumeral ligament fails at the glenoid 40% of the time, creating the well-known Bankart lesion. The IGL fails at the mid-ligament 35% of the time, and at its humeral attachment 25% of the time,5 the latter resulting in the HAGL lesion.
What is a Capsulorrhaphy?
A capsulorrhaphy is a surgical procedure that repairs and tightens the shoulder capsule, (the connective tissue around the shoulder) to help stabilize the ball and socket. The procedure tightens the essential ligaments that provide stability to the shoulder joint.
What is a putti Platt procedure?
Putti-Platt is one of the surgical treatment options for anterior shoulder instability. In this procedure, the flexible cord (tendon) of the subscapularis muscle is cut and then reattached to the head of the upper arm bone (humerus).
What is a reverse HAGL?
Although the typical anterior HAGL lesion is more common, posterior injuries do occur. These are referred to as reverse or posterior HAGL (PHAGL) lesions and involve an avulsion of the posterior band of the IGHL from the humeral neck. While rare, these lesions have been shown to contribute to recurrent instability.
How do you repair a torn ligament in your shoulder?
Shoulder reconstruction surgery involves repair of the torn or stretched ligaments so that they are better able to hold the shoulder joint in place. During the surgery the torn labrum is reattached back to the shoulder socket with the help of special anchors and the overstretched capsules and ligaments are tightened.
Is Capsulorrhaphy painful?
What to Expect from a Capsulorrhaphy Breast Procedure? Like any surgery, there will be soreness and swelling afterward. Since this is surgery to repair a problem, it is extremely important to get enough rest and recovery — at least six weeks.
Who are Block 6?
Block 6, also known as Black Hand, and ANTI, are a gang from Catford, SE6. Originally part of the Catford Ghetto Boys, a group of these members would branch out in the early/ mid 90s and form their own independent set, Catford Wildcats (CWC).
Where does the SGHL attach to the glenoid?
The SGHL attaches to the glenoid labrum above the glenoid’s epiphyseal line near the coracoid’s base and anterior to the long head of the biceps tendon. It blends with the long head of the biceps prior to its bony insertion (28,42,47).
What is the SGHL ligament?
The SGHL is the third of the glenohumeral ligaments and is attached to the nonarticulating edge of the glenohumeral joint capsule.
What is the origin of the SGHL?
The origin of the SGHL is near the top of the lesser tuberosity of the humerus, and it blends with the anterior edge of the CHL (beneath the superior edge of the subscapularis tendon) to insert into the fovea capitas (28,31,47). In fetal development, the SGHL is present as thickenings of the joint capsule by 14-wk gestation (14).