Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

Ā© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Sports Medicine
intermediate
X-Type

HAGL Lesions

Shoulder Instability

A 28-year-old male rugby player presents with recurrent anterior shoulder dislocations. He has had four episodes over the past 2 years, with the most recent occurring during a tackle. MRI arthrogram shows an intact labrum but there is an abnormal "J-sign" appearance on the sagittal images and pooling of contrast along the medial humeral neck. Arthroscopy is planned. Regarding the anatomy and diagnosis of this lesion:

Mark each as TRUE or FALSE

A

A HAGL (Humeral Avulsion of the Glenohumeral Ligament) lesion involves avulsion of the inferior glen...

B

The inferior glenohumeral ligament (IGHL) complex is the primary static stabilizer against anterior ...

C

HAGL lesions are always visible on standard MRI without contrast; the lesion is best seen on axial i...

D

MRI arthrogram findings of HAGL include the "J-sign" on sagittal images (contrast extending along me...

E

Variants of HAGL include BHAGL (bony HAGL with a bone fragment from the humerus), RHAGL (reverse HAG...

Answer the questions to see explanations

Click T (True) or F (False) for each option