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Fig. 95.1 (A) The most common mechanism of injury to the AC joint results from a direct blow onto the tip of the shoulder. (B) An indirect force, such as a fall onto the elbow, may also disrupt the AC joint.
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img 1:  Adapted from Buss, D. D., & Watts, J. D. [2003]. Acromioclavicular injuries in the throwing athlete. Clinics in Sports Medicine, 22, 327–341.