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Tbh a hyperextension of the elbow could only have occurred in a tackle where avo got his arm put in an awkward position. Not sure how it could of possibly happened in the gym..Manly and Titans seemed to have a LOT of injuries under him and there fans don't speak very highly of him...was one of the things I was concerned about with him here though his weekly reports have been enjoyable to watch. Just something to keep an eye on this season.