Patient, man, 35 years old, right shoulder pain for 12 years, persistent, nocturnal worsening, rebound-aggravated activity, ineffective multi-treatment.
The amplitude of the right shoulder joint is normal, but the pain is aggravated, especially external rotation pain and the sensitivity of the acromion.
X-rays showed a distended clavicular external extremity and a subacromial conflict (Figure 82).
CT scans showed a torn fracture of the acromion, no consolidation (Figure 83), acromioclavicular osteoarthritis, hyperosteogenesis and geodes at the outer end of the clavicle and broken bone fragments in the joint cavity.
Diagnosis: Right acromioclavicular osteoarthritis, old right acromion fracture