ArticleJournal of orthopaedic case reports2026
Rare Presentation of Chronic Anterior Instability with Concomitant Triad of Anterior Labral Periosteal Sleeve Avulsion, Hill-Sachs, and Humeral Avulsion of the Glenohumeral Ligament Lesions: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Traumatic anterior shoulder instability is common in young patients; however, the simultaneous occurrence of an anterior labral periosteal sleeve avulsion (ALPSA) lesion, Hill-Sachs defect, and humeral avulsion of the glenohumeral ligament (HAGL) is exceptionally rare. Managing multiple concurrent soft-tissue and bony injuries presents significant diagnostic and therapeutic challenges. This report describes a unique case of combined ALPSA, Hill-Sachs, and HAGL lesions treated with an all-arthroscopic approach, highlighting the importance of comprehensive evaluation and tailored surgical planning in complex instability patterns. Case Report: A 17-year-old female sustained a traumatic shoulder injury resulting in recurrent anterior dislocations, progressive pain, and functional weakness. Imaging revealed the coexistence of an ALPSA lesion, a significant Hill-Sachs defect, and a HAGL lesion. Given the complexity of instability, an all-arthroscopic repair strategy was adopted. The procedure included arthroscopic ALPSA repair to restore labral integrity, Hill-Sachs remplissage to address the engaging humeral defect, and arthroscopic HAGL repair using strategic anchor placement and precise suture management to re-establish capsuloligamentous continuity. Postoperative rehabilitation progressed uneventfully, and at 18 months follow-up, the patient demonstrated a near-normal range of motion, excellent functional recovery, and no recurrence of instability. Conclusion: The coexistence of ALPSA, Hill-Sachs, and HAGL lesions represents a rare and challenging clinical scenario. This case illustrates that a carefully planned all-arthroscopic approach can successfully restore shoulder stability and function while minimizing morbidity. Thorough assessment and individualized treatment strategies are essential for optimal outcomes in complex instability presentations. Further research is warranted to assess the long-term results of combined arthroscopic repair in such rare lesion patterns.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.