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A humeral avulsion of the glenohumeral ligament, or HAGL lesion, is an uncommon yet disabling shoulder injury, which leads to complaints of pain and overall inability to properly use the shoulder from patients. The diagnosis of a HAGL lesion is particularly challenging. To arrive at an accurate diagnosis, the use of a magnetic resonance arthrogram is suggested along with high clinical suspicion. A HAGL lesion may be anterior or posterior. This difference dictates the type of surgical treatment to be undertaken. Although a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. The purpose of this Technical Note is to describe our preferred technique to surgically treat an anterior HAGL lesion through an open approach.

Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon pathologies may be treated nonoperatively; however, biceps tendon subluxation and the presence of rotator cuff or SLAP lesions require surgical management. One of the options for the treatment of bicep tendon pathology includes miniopen subpectoral biceps tenodesis. The purpose of this Technical Note is to describe in detail our preferred operative technique for miniopen subpectoral biceps tenodesis with 2 different fixation methods.