PMC8610693_01
(a) Scapular X-ray taken during patient's first visit to emergency department. (b) Anteroposterior X-ray taken during patient's first visit to emergency department.
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Scapular Y and standard anteroposterior shoulder radiographs were obtained and read as negative (Figures 1(a) and 1(b)).
Axillary X-ray reveals age indeterminate fracture from the humeral head at the time of outpatient follow-up one year after injury.
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Upon presenting to our institution 14 months postinjury, the patient was otherwise healthy and axillary X-rays demonstrated an age indeterminate fracture of the humeral head (Figure 2).
Axial proton density fat saturation image demonstrating the nonunited lesser tuberosity fragment without surrounding edema.
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Subsequent MRI showed heterogeneous signal and thickening of subscapularis fibers at the lesser tuberosity attachment as well as osseous fragmentation (Figure 3).
(a) Anteroposterior view of suture placement for avulsion fracture repair; (b) finished repair.
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Repair of the subscapularis tendon was performed through the deltopectoral approach (Figures 4(a) and 4(b)).