2023 Specialty Day Access Pass-HAGL Repair: How to Fix It Arthroscopically

HAGL Repair: How to Fix It Arthroscopically

Video Transcription

Video Summary

The speaker discusses humeral avulsion of the glenohumeral ligaments (HAGL), a lesion often missed in imaging and detected only arthroscopically, appearing in 1-11% of shoulder instability cases. Most common in collision sports, HAGL involves capsular avulsion near the humerus, causing instability without crepitation. Surgical repair, either open or arthroscopic, requires careful portal placement and releasing scar tissue between the capsule and subscapularis. Anchors and mattress sutures reattach the capsule, restoring stability with minimal motion loss. The speaker emphasizes technique nuances, recommending arthroscopic repair but noting open surgery as an option for less experienced surgeons.

Asset Caption

Felix H. Savoie III, M.D.

Keywords

Humeral avulsion of glenohumeral ligaments

Shoulder instability

Arthroscopic repair

Capsular avulsion

Collision sports