Professional Documents
Culture Documents
Gruber W. Über die Arten der Acromialknochen und accidentellen Acromialgelenke. Arch Anat Physiol Und wissensch Med.
1863:373–378.
EMBRYOLOGY
• Development of acromion proceeds
from many nuclei
• 11,1-20% of African-americans
• 0,7% in Koreans
• 1,9-15% in caucasians
From Spriegl, UJ
THEORIES
• Mechanical
• Genetic
Roedl JB, Morrison WB, Ciccotti MG, Zoga AC. Acromial apophysiolysis: superior shoulder pain and acromial nonfusion in the
young throwing athlete. Radiology. 2015;274(1):201-209.
Stirland A. Patterns of trauma in a unique medieval parish cemetery. Int J Osteoarchaeol. 1996;6:92-100.
THEORIES
• Mechanical
• Genetic:
Sammarco VJ. Os acromiale: frequency, anatomy, and clinical implications. J Bone Joint Surg Am. 2000;82(3):394-400.
CLINICAL PRESENTATION
• Asymptomatic +++
Lee DH, Lee KH, Lopez-Ben R, Bradley EL. The double-density sign: a radiographic finding suggestive of an os acromiale. J Bone
Joint Surg Am. 2004;86-A(12):2666–2670
CT-SCAN
IMAGING
From Uri, DS
TREATMENT OF SYMPTOMATIC OS
ACROMIALE
Pagnani MJ, Mathis CE, Solman CG. Painful os acromiale (or unfused acromial apophysis) in athletes. J Shoulder Elbow Surg.
2006;15(4): 432–435.
Wright RW, Heller MA, Quick DC, Buss DD. Arthroscopic decompression for impingement syndrome secondary to an unstable
os acromiale. Arthroscopy. 2000;16(6):595–599.
Campbell PT, Nizlan NM, Skirving AP. Arthroscopic excision of os acromiale: effects on deltoid function and strength. Orthopedics.
2012;35(11):e1601–1605.
OPEN RESECTION
Warner JJ, Beim GM, Higgins L. The treatment of symptomatic os acromiale. J Bone Joint Surg Am. 1998;80(9):1320–1326.
Boehm TD, Matzer M, Brazda D, Gohlke FE. Os acromiale associated with tear of the rotator cuff treated operatively. Review of
33 patients. J Bone Joint Surg Br. 2003;85(4):545–549.
ACROMIOPLASTY
Boehm TD, Matzer M, Brazda D, Gohlke FE. Os acromiale associated with tear of the rotator cuff treated operatively. Review of
33 patients. J Bone Joint Surg Br. 2003;85(4):545–549.
Abboud JA, Silverberg D, Pepe M, et al. Surgical treatment of os acro- miale with and without associated rotator cuff tears. J
Shoulder Elbow Surg. 2006;15(3):265–270.
ORIF
• Cannulated screws may
improve healing rate compare
to K-wires and diminish
hardware removal
• Systematic review
• 65% of male
• Hardware removal
REFERENCES
• Spiegl UJ et al. Optimal management of symptomatic os
acromiale: current perspectives. Ortho Research and reviews
2018;10:1-7.