Journal of Shoulder and Elbow Surgery
Volume 15, Issue 3 , Pages 265-270 , May 2006

Surgical treatment of os acromiale with and without associated rotator cuff tears

  • Joseph A. Abboud, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Presbyterian Hospital, Philadelphia, PA, USA
    • Corresponding Author InformationReprint requests: Joseph A. Abboud, MD, Pennsylvania Hospital, 3-B Orthopaedics, 800 Spruce St, 8th Floor Preston, Philadelphia, PA 19107
    • ,
  • David Silverberg, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Presbyterian Hospital, Philadelphia, PA, USA
    • ,
  • Mathew Pepe, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University, Egg Harbor Township, NJ, USA
    • ,
  • Pedro K. Beredjiklian, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Presbyterian Hospital, Philadelphia, PA, USA
    • ,
  • Joseph P. Iannotti, MD, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA
    • ,
  • Gerald R. Williams, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Presbyterian Hospital, Philadelphia, PA, USA
    • ,
  • Matthew L. Ramsey, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Presbyterian Hospital, Philadelphia, PA, USA

References 

  1. Armengol J , Brittis D , Pollock RG , Flatow EL , Self EB , Bigliani LU . The association of an unfused acromial epiphysis with tears of the rotator cuff (a review of 41 cases) . J Shoulder Elbow Surg . 1993;2(Suppl):S24
  2. 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;85:545–549
  3. Edelson JG , Zuckerman J , Hershkovitz I . Os acromiale (anatomy and surgical implications) . J Bone Joint Surg Br . 1993;75:551–555
  4. Ellman H . Arthroscopic subacromial decompression (analysis of one- to three-year results) . Arthroscopy . 1987;3:173–181
  5. Folliason A . Un cas d’os acromiale . Rev d’Orthop . 1933;20:553–558
  6. Gartsman GM . Arthroscopic acromioplasty for lesions of the rotator cuff . J Bone Joint Surg Am . 1990;72:169–180
  7. Gumina S , De Santis P , Salvatore M , Postacchini F . Relationship between os acromiale and acromioclavicular joint anatomic position . J Shoulder Elbow Surg . 2003;12:6–8
  8. Hawkins RJ , Brock RM , Abrams JS , Hobeika P . Acromioplasty for impingement with an intact rotator cuff . J Bone Joint Surg Br . 1988;70:795–797
  9. Hawkins RJ , Plancher KD , Saddemi SR , Brezenoff LS , Moor JT . Arthroscopic subacromial decompression . J Shoulder Elbow Surg . 2001;10:225–230
  10. Hertel R , Windisch W , Schuster A , Ballmer FT . Transacromial approach to obtain fusion of unstable os acromiale . J Shoulder Elbow Surg . 1998;7:606–609
  11. Hutchinson MR , Veenstra MA . Arthroscopic decompression of shoulder impingement secondary to os acromiale . Arthroscopy . 1993;9:28–32
  12. Iannotti JP , Bernot MP , Kuhlman JR , Kelley MJ , Williams GR . Postoperative assessment of shoulder function (a prospective study of full-thickness rotator cuff tears) . J Shoulder Elbow Surg . 1996;5:449–457
  13. Lazarus MD , Chansky HA , Misra S , Williams G , Iannotti J . Comparison of open and arthroscopic subacromial decompression . J Shoulder Elbow Surg . 1994;3:1–11
  14. Leggin BG , Neuman RM , Shaffer MA , Iannotti JP , Williams GR , Brenneman SK . Reliability and validity of a shoulder outcome scoring system . [abstract] J Orthop Sports Phys Ther . 1996;23:65
  15. Liberson F . Os acromiale—a contested anomaly . J Bone Joint Surg Am . 1937;19:683–689
  16. Macalister A . Notes on the acromion . J Anat Physiol . 1893;27:245–251
  17. Mudge MK , Wood VE , Frykman GK . Rotator cuff tears associated with os acromiale . J Bone Joint Surg Am . 1984;66:427–429
  18. Neer CS . Anterior acromioplasty for the chronic impingement syndrome in the shoulder (a preliminary report) . J Bone Joint Surg Am . 1972;54:41–50
  19. Nicholson GP . Arthroscopic acromioplasty (a comparison between workers’ compensation and non-workers’ compensation populations) . J Bone Joint Surg Am . 2003;85:682–689
  20. Norris T , Fischer J , Bigliani L , Neer C . The unfused acromial epiphysis and its relationship to impingement syndrome . Orthop Trans . 1983;7:505–506
  21. Peckett WR , Gunther SB , Harper GD , Hughes JS , Sonnabend DH . Internal fixation of symptomatic os acromiale (a series of twenty-six cases) . J Shoulder Elbow Surg . 2004;13:381–385
  22. Ryu RK . Arthroscopic subacromial decompression (a clinical review) . Arthroscopy . 1992;8:141–147
  23. Ryu RK , Fan RS , Dunbar WH V . The treatment of symptomatic os acromiale . Orthopedics . 1999;22:325–328
  24. Sammarco VJ . Os acromiale (frequency, anatomy, and clinical implications) . J Bone Joint Surg Am . 2000;82:394–400
  25. Satterlee CC . Successful osteosynthesis of an unstable mesoacromion in 6 shoulders (a new technique) . J Shoulder Elbow Surg . 1999;8:125–129
  26. Warner JJ , Beim GM , Higgins L . The treatment of symptomatic os acromiale . J Bone Joint Surg Am . 1998;80:1320–1326
  27. Wright RW , Heller MA , Quick DC , Buss DD . Arthroscopic decompression for impingement syndrome secondary to an unstable os acromiale . Arthroscopy . 2000;16:595–599

PII: S1058-2746(05)00283-1

doi: 10.1016/j.jse.2005.08.024

Journal of Shoulder and Elbow Surgery
Volume 15, Issue 3 , Pages 265-270 , May 2006

Article Tools

* Image Usage & Resolution