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An ALPSA (anterior labral periosteal sleeve avulsion) lesion is an injury at the front of the shoulder associated with shoulder dislocation. [1] References
Anterior shoulder dislocation and/or repeated anterior shoulder subluxations. [2] Diagnostic method: X-ray and MRI. Differential diagnosis: Anterior labroligamentous periosteal sleeve avulsion, Rotator Cuff Tears, SLAP Lesion, Impingement, Perthes lesion, Glenolabral articular disruption, Humeral avulsion of the glenohumeral ligament. [2]
The lesion is associated with any damage to the antero-inferior labrum. Most commonly due to anterior shoulder dislocation. The lesion often occurs after the initial dislocation. In chronic cases, there may be fibrosis and resynovialization of the labrum and periosteum. [citation needed] The lesion is best identified on MR arthrography.
Hill-Sachs deformities occur in 35–40% of anterior dislocations. They can be seen on a front-facing X-ray when the arm is in internal rotation. [11] Bankart lesions are disruptions of the glenoid labrum with or without an avulsion of bone fragment. [12] Damage to the axillary artery [13] and axillary nerve (C5, C6) may result.
Humeral avulsion of the glenohumeral ligament (HAGL) is defined as an avulsion (tearing away) of the inferior glenohumeral ligament from the anatomic neck of the humerus. [1] In other words, it occurs when we have disruption of the ligaments that join the humerus to the glenoid. HAGL tends to occur in 7.5-9.3% of cases of anterior shoulder ...
In medicine, an avulsion is an injury in which a body structure is torn off by either trauma or surgery (from the Latin avellere, meaning "to tear off"). [1] The term most commonly refers to a surface trauma where all layers of the skin have been torn away, exposing the underlying structures (i.e., subcutaneous tissue , muscle , tendons , or ...
SLAP is an acronym for "Superior Labrum Anterior and Posterior". [1] SLAP lesions are commonly seen in overhead throwing athletes but middle-aged labor workers can also be affected, and they can be caused by chronic overuse or an acute stretch injury of the shoulder.
Physical therapy is recommended to provide a treatment for the condition. The three stages to adhesive capsulitis are freezing, frozen, and thawing. During the freezing stage, there is a significant increase in pain in the night hours. The Frozen stage is where the shoulder loses its range of motion and becomes stiff.