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Right shoulder pain in a body builder
  1. S Shyamsundar,
  2. A L Pimpalnerkar
  1. Department of Orthopaedics, Royal Bournemouth Hospital, Bournemouth, UK
  1. Lt Cmdr A L Pimpalnerkar, Department of Orthopaedics, Royal Hospital Haslar, Gosport, Hants PO12 2AA, UK

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A 23 year old body builder presented with a two year history of pain and stiffness in his right shoulder. There was no history of trauma to the shoulder either at work or during his weight training. On examination there was point tenderness of the right acromioclavicular joint and restriction in the terminal range of shoulder abduction. Laboratory investigations were nor-mal. A plain anteroposterior radiograph of the right shoulder joint was taken (fig1).  

Figure 1

Anteroposterior radiograph of the right shoulder.


Identify the pertinent findings on radiography.
What is the clinical diagnosis? What could be the cause?
What would be your line of management for this patient? Rationalise your answer.

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