SynthesisActa bio-medica : Atenei Parmensis2020
The GLAD Lesion: are the definition, diagnosis and treatment up to date? A Systematic Review.
Synthesis in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- An Arthroscopic Technique for Addressing Cartilage Defects in the Glenoid Using Bone Marrow Aspiration Concentrate After Failed Bankart Repair.Arthroscopy techniques · 2025Article
- Capsulolabral Advancement and "Suture-First" Knot-Less Technique for Chronic Posterior Glenolabral Articular Disruption Lesion of the Shoulder.Arthroscopy techniques · 2025Article
- Shoulder Glenolabral Articular Disruption Lesion Repair Using Suture Bridge Technique and Concomitant Panlabral Repair.Arthroscopy techniques · 2025Article
- Osteopathic approach to injuries of the overhead thrower's shoulder.Journal of osteopathic medicine · 2025Review
- Surgical treatment of a glenolabral articular disruption lesion using knotless labral repair and minced cartilage procedure: a case report.JSES reviews, reports, and techniques · 2024Article
- A new, effective method for diagnosing GLAD lesions: the chicken-wing muscle up test.BMC musculoskeletal disorders · 2024Article
- Cartilage decisively shapes the glenoid concavity and contributes significantly to shoulder stability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Arthroscopic Management Strategies for Glenohumeral Articular Cartilage Lesions and Defects.Arthroscopy techniques · 2022Article
- Concomitant Glenolabral Articular Disruption (GLAD) Lesion is Not Associated With Inferior Clinical Outcomes After Arthroscopic Bankart Repair for Shoulder Instability: A Retrospective Comparative Study.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- The Glenolabral Articular Disruption Lesion Is a Biomechanical Risk Factor for Recurrent Shoulder Instability.Arthroscopy, sports medicine, and rehabilitation · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough GLAD lesions are quite common, only sporadic case reports describe surgical techniques and clinical outcomes. Even if cartilage defects can result from various pathogenic mechanisms, the resulting defect has some similarities with GLAD, and its management can be a starting point to treat both types of lesion. Aim of the present study is to find a commonly accepted definition for GLAD lesions in order to understand its pathogenesis, diagnosis and possible treatments.
methodsA search of PubMed (MEDLINE) database has been performed in June 2020 to identify relevant articles including a combination of the following search terms: "GlenoLabral Articular Disruption" OR "GLAD" AND "shoulder" AND "cartilage, articular".
resultsAbstract evaluation included 31 articles in the full-text review. Various studies showed that the performance of MR arthrography in the detection of glenohumeral cartilage lesions, including GLAD lesions, was moderate. Different therapeutic solutions have been described. Arthroscopic debridement of the lesion and reattachment of the labrum have been often used. In case of large articular defects, the labrum could be advanced in the cartilage defect to cover it. In case of cartilage flap with reparable margins, this could be reattached with different suture constructs. Neglected GLAD lesions following a chronic trauma or shoulder instability have not been described in literature.
conclusionsThe definition of GLAD injury has changed over the time. Many authors associate this lesion with shoulder instability, with trauma in abduction and extra rotation, while Neviaser's original definition described stable shoulders following a trauma in adduction.
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