Ossification of the coracoacromial ligament was looked for routinely o
n the roentgenograms of 50 patients with arthrographically-documented
rotator cuff tear and of 25 controls free of clinical evidence of shou
lder disease. Ossification of the coracoacromial ligament was seen in
none of the 25 controls versus 12 of the 50 patients. The ossification
consistently arose from the acromial attachment site. A few patients
developed ossification of the entire ligament bridging the gap between
the acromion and coracoid process.