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acromion ( RID1862 ) I find that AC joint region pathology is often found when labral tear is suspected. It is easy to suspect correlation between imaging abnormality and symptoms when its isolated pathology. In this case there is cyst-like change deep to the synchondrosis...I dont know if its the acromion or labral tear or both that is contributing to symptoms. This is a 15 yr old. Would we consider this an os acromiale?