Figure 5From: Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion - dynamic sonographic evaluationSubdeltoid fluid and impingement before and after implants removal. A 31-year-old man who received hook plate fixation of a right distal clavicle fracture developed shoulder impingement syndrome. (A) Musculoskeletal sonography revealed subacromial/subdeltoid (SASD) bursitis with flowing fluid before implant removal (arrowhead). (B) Four weeks after implant removal, the same patient was reevaluated. Sonographic finding showed unobstructed passage of the humeral head into the acromion and disappearance of the flowing fluid. SSP, supraspinatus tendon.Back to article page