Final result
Smithsburg High School defeated Middletown High School 56–54 — margin of 2.
Standings impact
| # | TEAM | RECORD | PCT |
|---|---|---|---|
| 1 |  South Hagerstown High School | 19-1 | .950 |
| 2 |  Frederick High School | 17-2 | .895 |
| 3 |  Walkersville High School | 17-3-1 | .833 |
| 4 |  Urbana High School | 15-5 | .750 |
| 21 |  Middletown High School | 4-15-1 | .225 |
| 23 |  Smithsburg High School | 2-18 | .100 |