Lesser tuberosity avulsion

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Fall a day prior. Shoulder pain and weakness. Weak subscapularis muscle on examination.

Patient Data

Age: 50 years
Gender: Male
x-ray

A bone density is noted overlying glenohumeral joint.  A lucency is noted in the humerus consistent the donor site.

ultrasound

US - Defect at lesser tuberosity / subscapularis insertion site. Retracted bone flake could not be localized due to retraction under coracoid.

MR - done later to check retraction and  subscapularis tendon ( Not uploaded, no copy right ).

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