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Acromial keel spur

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Rotator cuff syndrome.

Patient Data

Age: 65 years
Gender: Female
mri

Acromioclavicular joint osteoarthritis and severe supraspinatus tendinosis. There is an oblong spur at the acromial insertion of the coracoacromial ligament directed antero-medially and inferiorly.

Case Discussion

A subacromial keel is a spur on the anterior under-surface of the acromion, that is formed like the keel of a sailboat. It is highly associated with rotator cuff damage and tear1.

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