Abstract Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill–Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small‐to medium‐sized, engaging Hill–Sachs lesions. The knotless fashion aims to eliminate potential problems associated with knot tying, such as knot migration, knot impingement, and chondral abrasion. Technique Video video See video under supplementary data.