Acromioclavicular joint injury - type III (MRI)

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Direct shoulder trauma.

Patient Data

Age: 20 years
Gender: Male

Disruption of the superior and inferior acromioclavicular (AC) ligaments, coracoclavicular ligament, and the ruptured joint capsule is seen associated with joint separation and superior displacement of the clavicle relative to the acromion

The distal clavicle is displaced superiorly compared to the acromion

Overlying soft tissue edema/swelling

Subacromial subdeltoid bursa 

Acromion type II

No fracture

Normal glenohumeral joint. 

Case Discussion

The patient referred to us with a history of shoulder pain and immobility after direct shoulder trauma. Regarding the imaging findings, this is a type III acromioclavicular joint injury according to Rockwood classification.

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