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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Partial Humeral Avulsion Of The Inferior Glenohumeral Ligament(HAGHL)?

I have a partial humeral avulsion of the inferior glenohumeral ligament (HAGHL) and there is a small locular subcoracoid bursal effusion. My question is are there any other treatments out there beside surgery? Right now I have very little use of my Right arm without pain.
Tue, 29 Nov 2016
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Orthopaedic Surgeon 's  Response
Hi
The gleno humeral ligament tear has to be repaired,there's no alternative.
The sub coracoid bursa may be infiltrated with depomedrol injection for now, but if open repair of glenohumeral ligament is undertaken, this bura may be excised in same sitting once the area is exposed in surgery.
Support arm in a sling and avoid all movements of shoulder and plan for earliest repair.
Take tramadol100mg sos for severe pain and ace -proxyvon tablets1 BD for 5 days .Apply voltaren gel locally on shoulder.
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How To Treat Partial Humeral Avulsion Of The Inferior Glenohumeral Ligament(HAGHL)?

Hi The gleno humeral ligament tear has to be repaired,there s no alternative. The sub coracoid bursa may be infiltrated with depomedrol injection for now, but if open repair of glenohumeral ligament is undertaken, this bura may be excised in same sitting once the area is exposed in surgery. Support arm in a sling and avoid all movements of shoulder and plan for earliest repair. Take tramadol100mg sos for severe pain and ace -proxyvon tablets1 BD for 5 days .Apply voltaren gel locally on shoulder.