ALPSA lesion

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The term ALPSA lesion is an acronym for English anterior labroligamentous periosteal sleeve avulsion and refers to a demolition injury ( avulsion ) at the shoulder joint . It can also be understood as a “medially displaced” Bankart lesion in which the detached glenoid labrum together with the attached IGHL (the inferior glenohumeral ligament) is displaced medially and rotated caudally; the periosteum has been stripped off, but remains intact.

ALPSA lesions are predominantly found in patients with recurrent shoulder dislocations . Diagnosis is made by arthroscopy or magnetic resonance imaging with fat suppression.

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