Arthroscopic anatomy of the middle glenohumeral ligament. A series of 300 cases
| Autor: | Louis Rony, M. Ropars, Laurent Hubert, R. Lancigu, S. Bergman, J. Bächler |
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| Přispěvatelé: | Université d'Angers (UA), Service de Chirurgie Orthopédique et Traumatologie [Rennes] = Orthopaedics / Orthopedics and traumatology surgery [Rennes], CHU Pontchaillou [Rennes] |
| Rok vydání: | 2020 |
| Předmět: |
[SDV]Life Sciences [q-bio]
medicine.medical_treatment Tenotomy Subacromial decompression Middle glenohumeral ligament Arthroscopy Rotator Cuff 03 medical and health sciences 0302 clinical medicine medicine Humans Rotator cuff Prospective Studies 030222 orthopedics 0303 health sciences Labrum medicine.diagnostic_test Shoulder Joint business.industry Anatomy Subscapularis tendon medicine.anatomical_structure 030301 anatomy & morphology Ligaments Articular Ligament business |
| Zdroj: | Morphologie Morphologie, Elsevier Masson, 2020, 104, pp.187-195. ⟨10.1016/j.morpho.2020.03.002⟩ |
| ISSN: | 1286-0115 |
| DOI: | 10.1016/j.morpho.2020.03.002 |
| Popis: | Summary Purpose The anatomy of the middle glenohumeral ligament (MGHL) is seldomly described during arthroscopy. The aim of this study was to determine the arthroscopic variants concerning the anatomy of the MGHL. Methods A prospective, observational, single-center study was conducted between June 2016 and June 2017. All patients undergoing a first-time arthroscopy of the shoulder and with no history of prior surgery or trauma of the same shoulder were consecutively enrolled. The variations of the MGHLs shape and of its glenoid and distal insertions were documented during surgery. Results A total 300 patients were included. Surgeries included rotator cuff sutures, tenotomy/tenodesis of the long head of the biceps tendon (LHBT) and subacromial decompression in respectively 31%, 32.7% and 35.5% of cases. The MGHL was absent in 12% of cases, presented a flat structure in 72% of cases, a cord-like shape in 14% and a Buford complex was observed in 1%. Its glenoid insertion was located on the labrum between the superior (SGHL) and inferior (IGHL) in 43% of cases, presented a combined insertion with the LHBT in 7%, with the SGHL in 29% and with both the SGHL and LHBT in 9%. The distal insertion was located in 67% of cases on the subscapularis tendon (SCCT) or the capsule covering it, and on the humeral bone in 21%. Conclusion This study confirms and details the anatomic variants of the MGHL, notably describing the lesser-known variants of its distal insertion, yet arises the question of the exact nature and function of this so-called ligament. |
| Databáze: | OpenAIRE |
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