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Find any fracture
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X-Ray Analysis - Right Shoulder AP (Himansu Sasmal, 29 yrs, 17-07-2026)
Primary Finding: Acromioclavicular (AC) Joint Separation
The most significant abnormality on this film is superior displacement of the distal clavicle relative to the acromion, indicating an AC joint injury (shoulder separation). The vertical misalignment and widened AC joint space are clearly visible.
Grading (Rockwood Classification) - requires clinical correlation:
| Grade | Features | Management |
|---|---|---|
| I | Sprain only, joint intact | Conservative |
| II | Partial ligament tear, mild elevation | Conservative |
| III | Complete CC + AC ligament tear, marked elevation | Controversial (conservative vs. surgical) |
| IV-VI | Severe displacement (posterior/inferior/superior) | Surgical |
The degree of elevation visible here is consistent with at least a Grade II-III injury - a stress view (bilateral weight-bearing X-ray) would help confirm grading.
Other Structures - No Additional Fractures
| Structure | Finding |
|---|---|
| Clavicle shaft | Intact - no mid-shaft or medial fracture |
| Proximal humerus | Normal - no surgical/anatomical neck fracture |
| Glenohumeral joint | Normal alignment - no dislocation |
| Scapula / coracoid / acromion | Intact |
| Visible ribs | No displaced rib fractures identified |
Recommended Next Steps
- Clinical exam - check for tenderness directly over the AC joint and a "step-off" deformity
- Bilateral stress X-rays (with 5-10 kg weights) - to grade the separation accurately
- Orthopedic referral - for Rockwood grading and management decision
Disclaimer: This is an AI-assisted image review for educational/informational purposes and does not constitute a formal radiological report. All findings must be confirmed by a qualified radiologist or treating clinician.
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