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Review Question - QID 267

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QID 267 (Type "267" in App Search)
What is the most common finding during surgery for traumatic anterior shoulder instability?

Anterosuperior labral tear

11%

142/1327

Anteroinferior labral tear

75%

992/1327

Posterosuperior labral tear

2%

23/1327

Posteroinferior labral tear

1%

13/1327

Hill Sachs lesion

11%

149/1327

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Hintermann et al conducted a prospective study to evaluate the arthroscopic findings of the unstable shoulder to provide insights in the causes and mechanisms of shoulder instability. 212 patients who had at least 1 documented shoulder dislocation. Of these 87% had anterior glenoid labral tears (the Bankart lesion), 79% had ventral capsule insufficiency, 68% had Hill-Sachs compression fractures, 55% had glenohumeral ligament insuffiency, 14% had complete rotator cuff tears, 12% had posterior glenoid labral tears, and 7% had SLAP tears. Similairly, In a study by Taylor et al, 63 of 67 (97%) had Bankart lesions, but none had rotator cuff tears. Thus, the right answer here is anterior labral tears, choice 2.

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