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Joseph F. Norfray, MD

JAMA. 1979;241(18):1933-1934.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

An abnormality of the distal left clavicle was identified on a routine chest film of a professional hockey player, and this was confirmed on a shoulder roentgenogram (Fig 1). He denied pain or weakness in the left arm.

Diagnosis

Traumatic osteolysis of the distal end of the clavicle.

Comment

The shoulder films (Fig 1 and 2) show resorption of the distal clavicle resulting in an increased distance between the clavicle and acromion. Bony fragments are present adjacent to the tapered distal clavicle (large arrow). The insertion of the acromioclavicular ligament is calcified from past trauma (small arrow).

Traumatic osteolysis of the distal clavicle follows severe injury to the shoulder. It is seen in contact sports (rugby,¹ football,² hockey,³ and judo⁴) and in certain other occupations, but most frequently follows a fall^2,5 or motor vehicle accident.^2,6 The injury is reported infrequently; it is first . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, Henrotin Hospital, Chicago.

Footnotes
Reprint requests to 111 W Oak St, Chicago, IL 60611 (Dr Norfray).

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