West Point classification of humeral avulsion of the glenohumeral ligament
Updates to Article Attributes
West Point classification of humeral avulsion of the glenohumeral ligament (HAGL) was created for describing anterior and posterior injuries to the inferior glenohumeral ligament (IGHL)
In this classification, there are six types of lesions broken into two categories depending on the direction of instability.
Classification
Based on 3 factors:
Anterior or Posterior involvement
presence or absence of Bony Avulsion
presence of associated labral pathology (Floating)
Anterior:
Anterior HAGL
Anterior Bony HAGL
Floating AIGHL
Posterior:
Posterior HAGL
Posterior Bony HAGL
Floating PIGHL
History and etymology
West Point classification was created by Bui-Mansfield et al. in 2007.
- +<p><strong>West Point classification of humeral avulsion of the glenohumeral ligament (HAGL)</strong> was created for describing anterior and posterior injuries to the <a href="/articles/inferior-glenohumeral-ligament">inferior glenohumeral ligament (IGHL)</a></p><p>In this classification, there are six types of lesions broken into two categories depending on the direction of instability.</p><h4>Classification</h4><p>Based on 3 factors:</p><ul>
- +<li><p>Anterior or Posterior involvement</p></li>
- +<li><p>presence or absence of Bony Avulsion</p></li>
- +<li><p>presence of associated labral pathology (Floating)</p></li>
- +</ul><h5><strong>Anterior: </strong></h5><p>Anterior HAGL</p><p>Anterior Bony HAGL</p><p>Floating AIGHL</p><h5><strong> Posterior: </strong></h5><p>Posterior HAGL</p><p>Posterior Bony HAGL</p><p>Floating PIGHL</p><h4>History and etymology</h4><p>West Point classification was created by <strong>Bui-Mansfield et al. </strong>in 2007.</p><p><br><br></p><p></p>
References changed:
- 1. Maalouly J, Aouad D, Ayoubi R, Dib N, El Rassi G. Posterior Shoulder Instability Due to Isolated Reverse HAGL Lesion in a Young Gymnast: A Rare Mechanism of Injury and Surgical Technique. Trauma Case Rep. 2020;28:100312. <a href="https://doi.org/10.1016/j.tcr.2020.100312">doi:10.1016/j.tcr.2020.100312</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/32637532">Pubmed</a>
- 2. Martetschläger F, Ames J, Millett P. HAGL and Reverse HAGL Lesions. Shoulder Arthroscopy. 2013;:411-8. <a href="https://doi.org/10.1007/978-1-4471-5427-3_33">doi:10.1007/978-1-4471-5427-3_33</a>
Sections changed:
- Classifications
Systems changed:
- Musculoskeletal