West Point classification of humeral avulsion of the glenohumeral ligament

Changed by Domenico Nicoletti, 8 Jul 2023
Disclosures - updated 26 Aug 2022: Nothing to disclose

Updates to Article Attributes

Title was added:
West Point classification of humeral avulsion of the glenohumeral ligament (HAGL)
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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>
Type was set to Article.
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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

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West Point classification of humeral avulsion of the glenohumeral ligament (HAGL)
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