Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position.

Wiwatboworn, Arnan; Limskul, Danaithep; Tanpowpong, Thanathep; Kuptniratsaikul, Vanasiri; Kuptniratsaikul, Somsak; Thamrongskulsiri, Napatpong; Itthipanichpong, Thun · Arthrosc Tech · 2024

case_report · Level V

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Abstract

Shoulder instability, often associated with both soft tissue and bone lesions, can result in shoulder pain and dysfunction. To address this, the combined procedure of a Bankart repair in conjunction with humeral avulsion of the glenohumeral ligament (HAGL) repair aims to minimize failure rates in a single procedure. While HAGL repair is imperative for preventing recurrent instability, there remains a lack of consensus on the optimal surgical technique. This Technical Note aims to elucidate a surgical approach for addressing and repairing HAGL lesions using arthroscopy, specifically employing a combined posterior viewing portal and posteroinferior working portal in the beach-chair position.

Anatomy