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Trauma
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Lesser Tuberosity Fractures

Shoulder Trauma

A 35-year-old male presents to the emergency department after experiencing a generalized tonic-clonic seizure. He complains of bilateral shoulder pain and is holding both arms in internal rotation with resistance to passive external rotation. Examination reveals loss of normal shoulder contour bilaterally. An AP radiograph of the right shoulder shows an internally rotated humeral head with the "lightbulb sign." Regarding lesser tuberosity fractures and their association with posterior shoulder dislocation:

Mark each as TRUE or FALSE

A

Isolated lesser tuberosity fractures are rare and most commonly occur as avulsion fractures from sub...

B

The "lightbulb sign" on AP radiograph describes the internally rotated humeral head in posterior dis...

C

The supraspinatus inserts on the lesser tuberosity; posterior shoulder dislocations are more common ...

D

Classic mechanisms for posterior shoulder dislocation include seizures (bilateral in up to 30%), ele...

E

Management depends on the size of the reverse Hill-Sachs lesion: lesions involving less than 25% of ...

Answer the questions to see explanations

Click T (True) or F (False) for each option