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Acromio (AC) Sprain
History Findings
Pain Location
• Anterosuperior shoulder pain, often with the patient pointing directly to the AC joint.
Mechanism of Injury
• Direct trauma to the lateral shoulder (e.g., sports impact).
• Fall on an outstretched hand or elbow with the arm adducted.
Pain Aggravators
• Sleeping on the affected side
Physical Examination Findings
Pain Location
• Anterosuperior shoulder pain, often with the patient pointing directly to the AC joint.
Mechanism of Injury
• Direct trauma to the lateral shoulder (e.g., sports impact).
• Fall on an outstretched hand or elbow with the arm adducted.
Pain Aggravators
• Sleeping on the affected side
Diagnostic Imaging
Pain Location
• Anterosuperior shoulder pain, often with the patient pointing directly to the AC joint.
Mechanism of Injury
• Direct trauma to the lateral shoulder (e.g., sports impact).
• Fall on an outstretched hand or elbow with the arm adducted.
Pain Aggravators
• Sleeping on the affected side
Key Anatomical Insights for Practice
Pain Location
• Anterosuperior shoulder pain, often with the patient pointing directly to the AC joint.
Mechanism of Injury
• Direct trauma to the lateral shoulder (e.g., sports impact).
• Fall on an outstretched hand or elbow with the arm adducted.
Pain Aggravators
• Sleeping on the affected side
Where Does It Hurt?
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Pain Location: Patients with an AC joint injury don’t just describe shoulder pain—they point directly to the anterosuperior shoulder like a bullseye! 🎯 This localized tenderness over the AC joint is a key clue to diagnosing the injury.
History
Key History Clues
Physical Examination
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Imaging
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Red Flags
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Clinical Tips

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Quiz
Test Question
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Answer here
