Bi-acromial dimples, also known as shoulder dimples, are an anatomic peculiarity that should be considered an anatomic variation. They can also appear in other parts of the body and coexist in the same individual. These dimples are infrequent and are solitary findings in most cases. There’s also reports of dimples as part of malformation syndromes [1-3].

A 2-year-old boy with no previous medical history presented at his regular pediatric consultation. The parents have noticed he had a dimple on both his shoulders which made them worried that. There was no family history of these kind of dimples. On physical examination deep dimples were present in the acromial region bilaterally and symmetrically, 10mm in diameter, about 5 to 10mm deep and without dermal or hypodermic atrophy (Figure 1-3). No other somatic abnormalities were found. There was also no restriction in range of movement of the shoulder joints.

Bi-acromial dimples may be considered an anatomic curiosity. It is important that pediatricians are aware of this entity to reassure parents of its benign nature. In this case bi-acromial dimples were an isolated anatomical peculiarity, with no known familial occurrences. Skin dimples were discovered incidentally and are most probably underdiagnosed [1-3].

Keywords: Dimples; Bi-acromial dimples; Supraspinous fossae; Dermatology