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In the Hawaii 5-0 episode, Ma Ke Kahakai (1.20) Steve McGarrett breaks his arm while repelling. Alex O'Loughlin did not break his arm; however, Scott Caan did have a knee injury while performing a stunt and required surgery for ACL repair. The injury was written into the storyline.

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Q: Did alex from Hawaii 5 0 really break his arm?
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