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osteolysis ( RID5382 ) The referrer provided a clinical diagnosis of distal clavicular osteolysis. I see more extensive changes at the acromion, joint narrowing, degenerative distortion of the intra-articular disc and capsular ligament. I would have called this DJD. Am confused by what is or is not considered osteolysis. Is it all just stress injury? Might this have started as osteolysis and progressed to DJD? Does it matter?