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Although HAGL lesions occur less commonly than Bankart lesions in cases of anterior instability, it is necessary to understand this pathology and to make the necessary repair. An all\u2010arthroscopic technique using suture anchors can be used to repair HAGL lesions, but it is a difficult and demanding technique. To facilitate this type of repair, the surgeon must be: (1) comfortable with both the 30\u00b0 and 70\u00b0 arthroscopes, (2) able to establish and use the 5\u2010o'clock portal, (3) able to abduct and externally rotate the arm, and (4) able to ensure secure fixation of the glenohumeral ligaments to bone through adequate knot and loop security.<\/jats:p>","DOI":"10.1016\/j.arthro.2004.04.045","type":"journal-article","created":{"date-parts":[[2004,7,2]],"date-time":"2004-07-02T14:52:12Z","timestamp":1088779932000},"page":"134-141","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":59,"title":["Arthroscopic humeral avulsion of the glenohumeral ligaments (HAGL) repair"],"prefix":"10.1002","volume":"20","author":[{"given":"David P","family":"Richards","sequence":"first","affiliation":[{"name":"San Antonio Orthopaedic Group San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen S","family":"Burkhart","sequence":"additional","affiliation":[{"name":"San Antonio Orthopaedic Group San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,7,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B1.0810093"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.3.1790649"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21800"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90012-8"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90139-6"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(97)90064-1"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90205-4"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90006-2"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90174-7"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806304005250?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806304005250?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2004.04.045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2004.04.045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2004.04.045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:44:51Z","timestamp":1773564291000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2004.04.045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,7]]},"references-count":9,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2004,7]]}},"alternative-id":["10.1016\/j.arthro.2004.04.045"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2004.04.045","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Arthroscopic humeral avulsion of the glenohumeral ligaments (HAGL) repair","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2004.04.045","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"converted-article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2004 Arthroscopy Association of North America. 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