Acromioclavicular joint injury with coracoid process avulsion fracture
Diagnosis almost certain
Presentation
Shoulder trauma following a car accident
Patient Data
Age: 60 years
Gender: Female
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Info

The clavicle is elevated but not above the superior border of the acromion denoting Rockwood type II acromioclavicular joint injury.
A linear bony fragment is noted superior to the coracoid process, consistent with an avulsion fracture and coracoclavicular ligament injury.
Case Discussion
Coracoclavicular ligament injury is typically associated with acromioclavicular joint injury.