ALPSA lesion
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.
See also
literature
- A. Greenspan: Orthopedic Radiology. A practical Approach 3rd edition, Lippincott Williams & Wilkins, 2000, p. 119, ISBN 0-7817-1589-X
- J. Sailer, H. Imhof: shoulder joint instability. In: The Radiologist. Volume 44, Number 6, June 2004, pp. 578-590, doi : 10.1007 / s00117-004-1056-2 , PMID 15150645 .