Acromial fracture - ultrasound
H/o fall on ground. Plain radiograph - Acromian undisplaced fracture. Referred for ultrasound to check cuff integrity.
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Cortical breach is noted in acromian.
Cuff - intact and normal.
Its a definite cortical breach in acromian.
When there is os acromiale, it appears like 'a second acromio-clavicular joint' ; posterior to normal acromio-clavicular joint.