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Chronic Avulsive Injury of the Deltoid Insertion in Adolescents: Imaging Findings in Three Cases¹

¹ From the Department of Radiology, Division of Pediatric Radiology, Box 3808, Duke University Medical Center, Durham, NC 27710. Received March 20, 1998; revision requested June 17; revision received July 9; accepted September 2. Address reprint requests to L.F.D.

The clinical and imaging (magnetic resonance [MR] imaging, radiography, and bone scintigraphy) findings in three adolescent boys with chronic avulsive injury at the deltoid insertion are presented. MR imaging enabled the exclusion of findings suggestive of malignancy and the localization of abnormalities to the deltoid insertion site. Findings included cortical thickening and irregularity of the deltoid tubercle, with or without adjacent soft-tissue edema.

Index terms: Bones, injuries, 416.4191 • Bones, MR, 416.121411 • Bones, radionuclide studies, 416.12172 • Humerus, 416.4191 • Muscles, injuries, 416.4191

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