Acromioclavicular joint injury - type II

Case contributed by Bahman Rasuli
Diagnosis probable

Presentation

Shoulder trauma.

Patient Data

Age: 25
Gender: Male

Disruption of the AC joint capsule and the AC ligaments. Partial rupture of the CC ligaments.

Abnormal intra-substance increased signal and thickening is present along the course of subscapularis tendon, likely related to tendinosis associated with bone marrow edema/bruise at the greater and lesser tuberosities.

Acromion type II also is noted.

Subacromion-subdeltoid bursal effusion also is seen.

Case Discussion

Patient referred to us with the history of shoulder pain and immobility after direct shoulder trauma. Regarding the imaging findings, this is a type 2 acromioclavicular injury according to Rockwood clasification.

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