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Review Question - QID 8757

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QID 8757 (Type "8757" in App Search)
A 15-year-old wrestler sustains an abduction, hyperextension, and external rotation injury to his right shoulder. The MRI scan findings shown in Figures 27a and 27b are most consistent with
  • A
  • B

an avulsion of the lesser tuberosity.

3%

21/767

a midsubstance tear of the capsule.

1%

11/767

a tear of the anterior inferior labrum.

18%

140/767

a tear of the subscapularis.

11%

88/767

a tear of the humeral insertion of the inferior glenohumeral ligament.

65%

501/767

  • A
  • B

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An isolated avulsion of the lesser tuberosity occurs very rarely and usually is found in 12- and 13-year-old adolescents. The MRI scans reveal a tear of the humeral attachment of the inferior glenohumeral ligament, a so-called HAGL lesion. This injury to the inferior glenohumeral ligament occurs much less commonly than the classic Bankart lesion (anterior inferior labral tear). A tear of the subscapularis occurs with a similar mechanism of injury but generally occurs in older individuals.

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