{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:05:46Z","timestamp":1773597946954,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,28]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Anterior glenohumeral instability is an increasingly common injury among young military servicemen. First-time dislocations occurring in combination with anterior labral tears and humeral avulsion of glenohumeral ligament lesions, although rare, significantly contribute to further shoulder dysfunction with recurrent instability and pain. Tears of the pectoralis major are also a type of injury more common in the military population, with operative management resulting in decreased strength. We present a unique case of a young, active duty male that sustains an anterior shoulder dislocation with a concomitant pectoralis major tendon rupture while bench press weight lifting in preparation for the Army Special Forces selection. To the best of our knowledge, this is the first case presented in the literature describing management of a simultaneous anterior shoulder dislocation, humeral avulsion of glenohumeral ligament lesion, and pectoralis major tendon rupture treated with a single operation. After aggressive rehabilitation, the patient was able to successfully pass Special Forces selection and has near full function of the operative shoulder with remarkable satisfaction scores.<\/jats:p>","DOI":"10.1093\/milmed\/usaa422","type":"journal-article","created":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T16:20:29Z","timestamp":1612196429000},"page":"e530-e534","source":"Crossref","is-referenced-by-count":5,"title":["Treatment of a Combined Pectoralis Major Tear, Anterior Labral Tear, and Humeral Avulsion of the Glenohumeral Ligament (HAGL) in an Active Duty Soldier"],"prefix":"10.1093","volume":"187","author":[{"given":"Cortney N","family":"Wolfley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA, 30905, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikalyn T","family":"DeFoor","sequence":"additional","affiliation":[{"name":"School of Medicine, Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan J","family":"Antosh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA, 30905, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A","family":"Parada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,1]]},"reference":[{"issue":"6","key":"2022050519075795000_R1","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1177\/1941738116672161","article-title":"Anterior shoulder instability in the military athlete","volume":"8","author":"Waterman","year":"2016","journal-title":"Sports Health"},{"issue":"5-6","key":"2022050519075795000_R2","doi-asserted-by":"crossref","first-page":"3158","DOI":"10.1093\/milmed\/usx086","article-title":"A history of shoulder instability in the military: where we have been and what we have 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review","volume":"5","author":"Bozzo","year":"2017","journal-title":"Orthop J Sports Med"},{"issue":"5","key":"2022050519075795000_R9","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0363546516680608","article-title":"Prospective evaluation of surgical treatment of humeral avulsions of the glenohumeral ligament","volume":"45","author":"Provencher","year":"2016","journal-title":"Am J Sports Med"},{"issue":"8","key":"2022050519075795000_R10","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1177\/0363546509348051","article-title":"Injuries to the pectoralis major muscle: diagnosis and treatment","volume":"38","author":"Provencher","year":"2010","journal-title":"Am J Sports Med"},{"issue":"3","key":"2022050519075795000_R11","doi-asserted-by":"crossref","first-page":"e729","DOI":"10.1016\/j.eats.2017.02.002","article-title":"Pectoralis major repair with unicortical button fixation and suture 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