Presentation
Chronic shoulder pain, unable to initiate abduction.
Patient Data
Age: 70 years
Gender: Male
From the case:
Subacromial spur


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Large subacromial spur with decreased space between the undersurface of the acromion and the humeral head, suggestive of a chronic rotator cuff tear.
Case Discussion
Subacromial impingement, where osteophytes arising from the inferior acromion or acromioclavicular joint damage the subjacent supraspinatus tendon, is a common mechanism of rotator cuff tear.