Anterior Instability: Arthroscopic HAGL Repair

  • Burak Altintas
  • Jonathan A. Godin
  • Erik M. Fritz
  • Peter J. Millett


Humeral avulsion of glenohumeral ligaments (HAGL) is much less common than labral injuries following anterior shoulder dislocation, but this pathology may contribute to recurrent instability. Therefore, surgical repair of these lesions is generally recommended. Due to the inferolateral attachment of the inferior glenohumeral ligament (IGHL) on the humeral neck, the arthroscopic treatment of HAGL lesions is technically challenging and demanding. Advantages of this technique over other arthroscopic and open procedures include better visualization and anatomic fixation of the avulsed IGHL with minimal invasiveness.


Shoulder instability Humeral avulsion Glenohumeral ligament Arthroscopic repair 

Recommended Literature

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    Fritz EM, Pogorzelski J, Hussain ZB, Godin JA, Millett PJ. Arthroscopic repair of a humeral avulsion of the glenohumeral ligament lesion. Arthrosc Tech. 2017:e1–6. Scholar
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    Martetschläger F, Ames JB, Millett PJ. In: Milano G, Grasso A, editors. HAGL and reverse HAGL lesions. London: Springer; 2014. Scholar
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    Southgate DFL, Bokor DJ, Longo UG, Wallace AL, Bull AMJ. The effect of humeral avulsion of the glenohumeral ligaments and humeral repair site on joint laxity: a biomechanical study. Arthroscopy. 2013;29(6):990–7. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Burak Altintas
    • 1
  • Jonathan A. Godin
    • 2
  • Erik M. Fritz
    • 3
  • Peter J. Millett
    • 4
  1. 1.Department of Orthopeadic Surgery and Sports MedicineUniversity of KentuckyLexingtonUSA
  2. 2.Department of Orthopaedic SurgeryVirginia Tech Carilion School of MedicineRoanokeUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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