Anterior Instability: Arthroscopic HAGL Repair

Humeral avulsion of glenohumeral ligaments (HAGL) is much less common than labral injuries following anterior shoulder dislocation, but this pathology may contribute to recurrent instability. Therefore, surgical repair of these lesions is generally recommended. Due to the inferolateral attachment of the inferior glenohumeral ligament (IGHL) on the humeral neck, the arthroscopic treatment of HAGL lesions is technically challenging and demanding. Advantages of this technique over other arthroscopic and open procedures include better visualization and anatomic fixation of the avulsed IGHL with minimal invasiveness.