Middle Glenohumeral Ligament Abrasion Causing Upper Subscapularis Tear

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Middle Glenohumeral Ligament Abrasion Causing Upper Subscapularis Tear Paul C. Brady, M.D., Heather Grubbs, Alexandre Lädermann, M.D., Christopher R. Adams, M.D. Arthroscopy Techniques Volume 6, Issue 6, Pages e2151-e2154 (December 2017) DOI: 10.1016/j.eats.2017.08.008 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Posterior portal view of the right shoulder with a 30° arthroscope. The humeral head (H) is on the lower right. The MGHL (labeled) sits approximately 1 cm medial to a significant abrasion lesion of the upper boarder of the subscapularis (∗). (B) Posterior portal view of the right shoulder with a 30° arthroscope. The glenoid (G) is visible on the left side of the field of view. With internal rotation of the humerus, the MGHL (labeled) can clearly be seen to be the offending lesion cutting into the upper subscapularis causing the pathology in the subscapularis. (MGHL, middle glenohumeral ligament.) Arthroscopy Techniques 2017 6, e2151-e2154DOI: (10.1016/j.eats.2017.08.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Posterior portal view of the right shoulder with a 30° arthroscope. An anterior portal is created and curved arthroscopic scissors (Arthrex) are used to divide the MGHL just over top of the upper subscapularis (SSc) tendon. The humeral head (H) is visible on the lower right. (B) Posterior portal view of the right shoulder with a 30° arthroscope. An arthroscopic shaver (Arthrex) is also used to assure complete excision of the MGHL (∗) over the top and front of the subscapularis (SSc). The humeral head (H) is visible in the lower right. (MGHL, middle glenohumeral ligament.) Arthroscopy Techniques 2017 6, e2151-e2154DOI: (10.1016/j.eats.2017.08.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Posterior portal view of the right shoulder with a 30° arthroscope. After complete release and excision of the middle glenohumeral ligament, the offending lesion on the subscapularis (SSc) is clearly removed and the upper subscapularis contour returns to near normal. The humeral head is in the lower right. Arthroscopy Techniques 2017 6, e2151-e2154DOI: (10.1016/j.eats.2017.08.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions