RT Journal
A1 Yoneda, Minoru
A1 Gartsman, Gary M.
A1 Hammerman, Steven M.
A1 Roddey, Toni S.
T1 Neviaser’s Contribution to the Treatment of ALPSA Lesions
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2001
FD April 1
VO 83
IS 4
SP 621
OP 621
DO 
UL http://dx.doi.org/
AB 
In the article "Arthroscopic Treatment of Anterior-Inferior
Glenohumeral Instability" (82-A: 991-1003, July 2000),
by Gartsman et al., the authors noted in the introduction
that Neviaser was the first to report on the anterior labroligamentous
periosteal sleeve avulsion (ALPSA) lesion. To my knowledge, when
Broca and Hartmann1reported on
the anterior dislocation of the shoulder in 1890, they first described
a periosteal sleeve avulsion lesion in detail. Later, McLaughlin2, Moseley and Övergaard3, and DePalma et al.4 also noted the periosteal sleeve
avulsion, including acute and old lesions, as a distinctive category
of intraarticular lesions involving anterior shoulder dislocation.
Although Dr. Neviaser’s 1993 report on the ALPSA lesion
alerted shoulder surgeons to the significance of this type of pathological
entity in arthroscopic surgery, he was not the first to report on
it. (Unfortunately, he did not refer to any previous reports.)