The HALP – An unusual triad in shoulder instability

Author:

Page Richard S.1,Gupta Gaurav2,Shanmugasundaram Saseendar3

Affiliation:

1. Department of Orthopaedics, School of Medicine, Deakin University, Barwon Health, Geelong, Australia,

2. Department of Orthopaedics, The Joint Clinic, Anandpur, Kolkata, West Bengal,

3. Consultant Shoulder and Knee Arthroscopy Surgeon, Apollo Hospital, Muscat, Sultanate of Oman,

Abstract

Humeral avulsion of the glenohumeral ligament (HAGL) and posterior labral tears are less common injuries in comparison to Bankart lesion in traumatic shoulder instability. The association of rotator cuff tears with posterior capsulolabral lesions is even rarer. We present an unreported combination of HAGL with posterior labral tear and partial articular infraspinatus tendon avulsion (PAITA). This combination of shoulder injuries (HALP triad – HAGL + posterior labral tear + PAITA) has not been reported so far in English literature. The mechanism of this rare combination of injuries is discussed. The arthroscopic technique for simultaneous repair of this combination of ligament tears is presented.

Publisher

Scientific Scholar

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