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Review Question - QID 7421

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QID 7421 (Type "7421" in App Search)
The MRI scan shown in Figure 33 reveals the sequelae of an acute traumatic anteroinferior shoulder dislocation. The image reveals the typical separation of what two commonly injured structures?
  • A

Anteroinferior labrum from the bony glenoid

56%

370/657

Anteroinferior labrum from the cartilaginous surface of the glenoid

32%

211/657

Biceps tendon from its origin on the supraglenoid tubercle

2%

10/657

Anterior capsule from the proximal humerus

7%

48/657

Posteroinferior labrum from the bony glenoid

1%

7/657

  • A

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The MRI scan reveals the sequelae of an anteroinferior dislocation, specifically separation of the anteroinferior labrum from the bony glenoid. The separation does not classically occur only at the cartilage-labral junction, but extends to the bony surface of the medial glenoid neck. Separation of the biceps tendon from its origin on the supraglenoid tubercle (SLAP lesion) or separation of the anterior capsule with the proximal humerus (HAGL lesion) may occur but are not the most common sequelae and are not demonstrated in this MRI image. Anteroinferior shoulder dislocations normally do not affect the posterior labral structures. In their landmark study, Rowe and associates noted that this demonstrated lesion was the most common lesion, present in 85% of their series.

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