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If hepatocyte loss is great, there may be insufficient liver tissue to release aminotransferases, which may result in decreased instead of increased serum levels of aminotransferases

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Acute injury can present with oedema, and ecchymosis in the antecubital fossa, however, this is not always present, or it is less than expected than in complete tears due to the intact lacertus fibrosis, which may confine swelling and haematoma.13, 14, 15, 16 Clinical examination demonstrates tenderness at the DBT and pain with resisted flexion and supination