Luis Perez-Carro¹*, Martino Vigano², Oscar Perez-Fernandez¹, Jegathesan T³ and Ana Rita Castro Felix¹

¹Orthopedic Surgery Department, Hospital Mompia, Santander, Cantabria, Spain
²Orthopedic Surgery Department, Hospital Gaetano Pini, Milan, Italy
³Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore

*Corresponding Author: Luis Perez Carro, Orthopedic Surgery Department, Hospital Mompia. Santander, Cantabria, Spain.

Received: January 25, 2024; Published: February 22, 2024

Abstract

In this case report, we describe a bony glenoid fracture associated with an Anterior Labral Periosteal Sleeve Avulsion (ALPSA) lesion. To the best of our knowledge, ALPSA lesion plus glenoid fracture (GALPSA) has not been previously described. This diagnosis can be difficult and delayed.

Keywords: Shoulder arthroscopy, Glenoid fracture, Anterior Labral Periosteal Sleeve Avulsion

References

1. Clavert P. “Glenoid labrum pathology”. Orthopaedics and Traumatology: Surgery and Research 1 (2015): S19-24.
2. Porcellini G., et al. “Arthroscopic approach to acute bony Bankart lesion”. Arthroscopy 18 (2002): 764-769.
3. Owens BD., et al. “Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events”. The Journal of Bone and Joint Surgery. American Volume 92 (2010): 1605-1611.
4. Neviaser TJ. “The anterior labroligamentous periosteal sleeve avulsion lesion: A cause of anterior instability of the shoulder”. Arthroscopy 9 (1993): 17-21.
5. Martetschläger F., et al. “Arthroscopic management of anterior shoulder instability with glenoid bone defects”. Knee Surgery, Sports Traumatology, Arthroscopy 12 (2013): 2867-2876.
6. Bigliani LU., et al. “Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder”. The American Journal of Sports Medicine 1 (1998): 41-45.
7. Ideberg R., et al. “Epidemiology of scapular fractures. Incidence and classification of 338 fractures”. Acta Orthopaedica Scandinavica 5 (1995): 395-397.
8. Bernhardson AS., et al. “Glenoid bone loss in the setting of an anterior labroligamentous periosteal sleeve avulsion tear”. The American Journal of Sports Medicine 9 (2014): 2136-2140.
9. Habermeyer P., et al. “Evolution of lesions of the labrum-ligament complex in posttraumatic anterior shoulder instability: a prospective study”. Journal of Shoulder and Elbow Surgery 1 (1999): 66-74.
10. Sugaya H., et al. “Glenoid rim morphology in recurrent anterior glenohumeral instability”. The Journal of Bone and Joint Surgery. American Volume5 (2003): 878-884.
11. Itoi E., et al. “The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study”. The Journal of Bone and Joint Surgery. American Volume1 (2000): 35-46.
12. Königshausen M., et al. “Instability and results after non-operative treatment of large anterior glenoid rim fractures is there a correlation between fragment size or displacement and recurrence”. Archives of Orthopaedic and Trauma Surgery 10 (2022): 2727-2738.
13. Ernstbrunner L., et al. “Anatomic healing after non-operative treatment of a large, displaced anterior glenoid rim fracture after primary traumatic anterior shoulder dislocation-a case report”. BMC Musculoskeletal Disorders 1 (2020): 361.

Citation

Citation: Luis Perez-Carro., et al. “Glenoid Fracture Plus Anterior Labral Periosteal Sleeve Avulsion (ALPSA) Lesion. The GALPSA Lesion".Acta Scientific Orthopaedics 7.3 (2024): 49-53.

Copyright

Copyright: © 2024 Luis Perez-Carro., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.