2021 AANA/ASES Specialty Session-Don’t Forget the Humeral Side: Techniques for HAGL Repair

Don’t Forget the Humeral Side: Techniques for HAGL Repair

Video Transcription

Video Summary

Dr. Mark Kowalski presents techniques for haggle repair, emphasizing the importance of recognizing haggle lesions in instability cases, occurring in 9-10%. He discusses when to choose arthroscopic versus open repair, noting open is preferred if the entire inferior and anterior glenohumeral ligament is involved due to accessibility and axillary nerve proximity. Arthroscopic repair requires multiple portals for proper visualization and anchor placement. He highlights careful handling to protect the axillary nerve, which is close to the capsular tissue and vulnerable during surgery. Key precautions include precise portal placement, cautious anchor insertion, and careful suture passage to minimize nerve injury risk.

Asset Caption

Marc S. Kowalsky, M.D.

Keywords

haggle repair techniques

haggle lesions

arthroscopic repair

open repair

axillary nerve protection