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Inferior Glenohumeral Ligament Injury
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Inferior glenohumeral ligament (IGHL)
              • Anterior band of IGHL (ABIGL)
            • Synonyms

              • Glenoid avulsion of glenohumeral ligament
                • IGHL tear near glenoid rim/labrum
              • Posterior humeral avulsion of glenohumeral ligament (PHAGL)
              • Humeral avulsion of glenohumeral ligament (HAGL)
                • IGHL tear at humeral insertion
                • More common than midsubstance IGHL tears
            • Definitions

              • Tear of IGHL, usually after glenohumeral dislocation

            IMAGING

            • General Features

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Hassanzadeh E et al: CT and MRI manifestations of luxatio erecta humeri and a review of the literature. Clin Imaging. ePub, 2015
                                    2. Pouliart N et al: Advanced imaging of the glenohumeral ligaments. Semin Musculoskelet Radiol. 18(4):374-97, 2014
                                    3. Krug DK et al: MRI findings associated with luxatio erecta humeri. Skeletal Radiol. 39(1):27-33, 2010
                                    4. Ng AW et al: Assessment of capsular laxity in patients with recurrent anterior shoulder dislocation using MRI. AJR Am J Roentgenol. 192(6):1690-5, 2009
                                    5. Bencardino JT et al: MR imaging of the glenohumeral ligaments. Radiol Clin North Am. 44(4):489-502, vii, 2006
                                    6. Mizuno N et al: Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear. J Bone Joint Surg Am. 87(12):2717-23, 2005
                                    7. Takubo Y et al: Magnetic resonance imaging evaluation of the inferior glenohumeral ligament: non-arthrographic imaging in abduction and external rotation. J Shoulder Elbow Surg. 14(5):511-5, 2005
                                    8. Sasaki T et al: Labral-ligamentous complex of the shoulder. Evaluation with double oblique axial MR arthrography. Acta Radiol. 44(4):435-9, 2003
                                    9. Park YH et al: MR arthrography of the labral capsular ligamentous complex in the shoulder: imaging variations and pitfalls. AJR Am J Roentgenol. 175(3):667-72, 2000
                                    10. Connell DA et al: Magnetic resonance evaluation of the labral capsular ligamentous complex: a pictorial review. Australas Radiol. 43(4):419-26, 1999
                                    11. Horii M et al: MRI evaluation of the inferior glenohumeral ligament. Comparison with arthroscopic findings in 81 shoulders. Acta Orthop Scand. 69(2):163-6, 1998
                                    12. Yeh L et al: Anterior labroligamentous structures of the glenohumeral joint: correlation of MR arthrography and anatomic dissection in cadavers. AJR Am J Roentgenol. 171(5):1229-36, 1998
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Inferior glenohumeral ligament (IGHL)
                                                • Anterior band of IGHL (ABIGL)
                                              • Synonyms

                                                • Glenoid avulsion of glenohumeral ligament
                                                  • IGHL tear near glenoid rim/labrum
                                                • Posterior humeral avulsion of glenohumeral ligament (PHAGL)
                                                • Humeral avulsion of glenohumeral ligament (HAGL)
                                                  • IGHL tear at humeral insertion
                                                  • More common than midsubstance IGHL tears
                                              • Definitions

                                                • Tear of IGHL, usually after glenohumeral dislocation

                                              IMAGING

                                              • General Features

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Staging, Grading, & Classification

                                                          • Gross Pathologic & Surgical Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Hassanzadeh E et al: CT and MRI manifestations of luxatio erecta humeri and a review of the literature. Clin Imaging. ePub, 2015
                                                                      2. Pouliart N et al: Advanced imaging of the glenohumeral ligaments. Semin Musculoskelet Radiol. 18(4):374-97, 2014
                                                                      3. Krug DK et al: MRI findings associated with luxatio erecta humeri. Skeletal Radiol. 39(1):27-33, 2010
                                                                      4. Ng AW et al: Assessment of capsular laxity in patients with recurrent anterior shoulder dislocation using MRI. AJR Am J Roentgenol. 192(6):1690-5, 2009
                                                                      5. Bencardino JT et al: MR imaging of the glenohumeral ligaments. Radiol Clin North Am. 44(4):489-502, vii, 2006
                                                                      6. Mizuno N et al: Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear. J Bone Joint Surg Am. 87(12):2717-23, 2005
                                                                      7. Takubo Y et al: Magnetic resonance imaging evaluation of the inferior glenohumeral ligament: non-arthrographic imaging in abduction and external rotation. J Shoulder Elbow Surg. 14(5):511-5, 2005
                                                                      8. Sasaki T et al: Labral-ligamentous complex of the shoulder. Evaluation with double oblique axial MR arthrography. Acta Radiol. 44(4):435-9, 2003
                                                                      9. Park YH et al: MR arthrography of the labral capsular ligamentous complex in the shoulder: imaging variations and pitfalls. AJR Am J Roentgenol. 175(3):667-72, 2000
                                                                      10. Connell DA et al: Magnetic resonance evaluation of the labral capsular ligamentous complex: a pictorial review. Australas Radiol. 43(4):419-26, 1999
                                                                      11. Horii M et al: MRI evaluation of the inferior glenohumeral ligament. Comparison with arthroscopic findings in 81 shoulders. Acta Orthop Scand. 69(2):163-6, 1998
                                                                      12. Yeh L et al: Anterior labroligamentous structures of the glenohumeral joint: correlation of MR arthrography and anatomic dissection in cadavers. AJR Am J Roentgenol. 171(5):1229-36, 1998