Repair of a Reverse HAGL: A 2-Portal Technique

Background: Glenohumeral joint stability is reliant on a combination of static and dynamic constraints. Humeral avulsion the posterior band inferior glenohumeral ligament (HAGL) an exceedingly rare injury. These injuries can be difficult to diagnose lead continued pain, dysfunction, recurrent instability. There paucity literature regarding surgical management reverse HAGL lesions. Indications: Many intrasubstance lesions managed nonoperatively with rehabilitation focused improving shoulder stability. Although incidence instability in patients unknown, acute detached humeral athletes are often treated surgically restore normal shoulder. Technique Description: The patient was placed standard beach chair position, portals were made for diagnostic arthroscopy. anterior portal primary viewing portal. Using initial skin incision, instruments introduced through defect from retracted ligament. 30° 70° arthroscope, mobilized infraspinatus musculature. Two knotless suture devices (1.8-mm anchor, 2.6-mm anchor) used reduce lesion anatomical capsule closed thereafter. Results: Only case studies single series have been published pertaining repair techniques related outcomes. When diagnosed appropriately, arthroscopic repairs yield promising results high percentage returning prior level activity or participation sport. However, outcome data limited given occurrence this injury pattern. Discussion/Conclusion: Reverse pathology effectively capsular anatomy prevent persistent pain. 2-portal approach closure minimally invasive operation that allows appropriate these injuries. Patient Consent Disclosure Statement: author(s) attests consent has obtained any patient(s) appearing publication. If individual may identifiable, included statement release other written form approval submission