APEX Shoulder Mastering Surgical Techniques for Clinical Success-GAGHL, HAGL, and RHAGL’s: Fixing Them Safely

GAGHL, HAGL, and RHAGL’s: Fixing Them Safely

Video Transcription

Video Summary

In this video, JT Tokish from the Mayo Clinic in Arizona discusses alternative causes and fixes for shoulder instability. He explains that in addition to the classic Bankart injury, the so-called Hagel lesion can also cause instability in the shoulder. Hagels make up approximately 9-10% of cases of instability. Risk factors for Hagels include hyperabduction and lower speeds of loading on the shoulder. These injuries are often associated with pain. The diagnosis is made through MRI, but it can be challenging to detect in chronic cases. Surgical repair involves reattaching the ligament using anchor placement and mattress sutures. The outcomes of the surgery are generally positive with good stability restored. The video provides tips and techniques for diagnosing and fixing Hagels.

Asset Caption

John Tokish, MD

Keywords

shoulder instability

Hagel lesion

surgical repair

MRI diagnosis

Mayo Clinic