Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion With Capsular Plication in the Lateral Decubitus Position

• Main Authors: Austin G. Cross, B.S., Joseph S. Tramer, M.D., Eric W. Guo, B.S., Stephanie J. Muh, M.D., Eric C. Makhni, M.D., M.B.A.
• Format: Article
• Language: English
• Published: Elsevier 2021-02-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S2212628720303248

Humeral avulsion of the glenohumeral ligament (HAGL) lesions can lead to persistent shoulder instability. While rare, HAGL lesions may present as a concomitant injury following shoulder dislocation events. Traditionally, an open approach has been used to repair the inferior glenohumeral ligament and restore shoulder stability. Modern arthroscopic techniques and instrumentation have permitted a minimally invasive approach for treating HAGL lesions. While technically demanding, arthroscopic repair of HAGL lesions has demonstrated favorable outcomes with less soft-tissue disruption. The following Technical Note describes a safe and effective method for the arthroscopic repair of HAGL lesions. Our technique highlights the use of the lateral decubitus position, a 70° arthroscope, a curved anchor device, and a 90° SutureLasso device.