Arthroscopic Excision of a Symptomatic Meso-acromiale

Stetson, William B.; McIntyre, James A.; Mazza, Genevieve R.

doi:10.1016/j.eats.2016.09.021

Cited by 9 publications

(10 citation statements)

References 18 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Arthroscopic excision has the possible benefit of less periosteal and deltoid attachment injury, potentially lending to better results than open excision. Campbell et al .…”

Section: Methods Of Searchingmentioning

confidence: 99%

Os Acromiale: Reviews and Current Perspectives

You

Frostick

Zhang

et al. 2019

Orthopaedic Surgery

View full text Add to dashboard Cite

Os acromiale is a developmental defect which results from the lack of an osseous union between the ossification centers of the acromion, leading to the fibrocartilaginous tissue connection. The prevalence of os acromiale is 1% to 15%, and is quite common in the African American population. Os acromiale in adults is easily diagnosed by symptoms and X‐ray, particularly on the axillary view; however, the differential diagnosis of adolescents may require MRI or SPECT–CT. Generally, nonoperative therapy for symptomatic os acromiale should be started, including physiotherapy, nonsteroidal anti‐inflammatory drugs, and injections. Surgical treatment is indicated after failed conservative treatment. In symptomatic patients with fixable acromiale, the tension band technique should be used to make the anterior aspect of the acromion elevated from the humerus head. In patients with small fragments which are unsuitable for reattachment, excision might be the best therapeutic option and lead to good outcomes. Whether using internal fixation or resection, the arthroscopic technique results in a better outcome and fewer complications, especially in older patients or athletes with overhead movement, because of the high incidence of shoulder impingement or rotator cuff tears which can be treated concurrently.

show abstract

“…Arthroscopic excision has the possible benefit of less periosteal and deltoid attachment injury, potentially lending to better results than open excision. Campbell et al .…”

Section: Methods Of Searchingmentioning

confidence: 99%

Os Acromiale: Reviews and Current Perspectives

You

Frostick

Zhang

et al. 2019

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…Several surgical techniques have been described to stabilize the os acromiale using screws, wire cerclage, or a combination of both. 4 , 6 , 11 , 18 Most of them describe a complete resection of the neo-joint, applying compression to the fragments and thereby shortening the acromion length. We have chosen an open procedure aiming at a fusion in situ, thus avoiding shortening and angulation.…”

Section: Discussionmentioning

confidence: 99%

The unstable os acromiale: a cause of pain in the young athlete

Arenas-Miquelez¹,

Hertel²

2020

JSES International

View full text Add to dashboard Cite

Purpose Os acromiale is a common entity in the middle-age group, in whom it is frequently associated with rotator cuff tears. However, it can be a cause of shoulder pain in the young athletes. We want to increase awareness of this pathology that may occultly affect the young athlete as well as to present the results of a perfusion-preserving arthrodesis. Methods Four consecutive young patients (17-21 years old) with a history of at least 6 months of unrecognized shoulder pain were surgically treated for os acromiale. Through a superior approach, stabilization of the neo-joint by means of cannulated screws and autogenic graft augmentation was performed. Results Union of the os acromiale was achieved in all the patients. They had an excellent functional outcome, reaching all the maximum Simple Shoulder Test (12) and Oxford shoulder Score (48) scores. All the patients were able to return to their previous sports level. Conclusion Awareness of the os acromiale in the young athlete, appropriate clinical examination, and image studies are crucial to confirm diagnosis. Surgical treatment aiming at fusion in situ has shown excellent result.

show abstract

“…As a result of the unspecific presentation and the high number of asymptomatic cases, the diagnosis can be confirmed by injection of a local anesthetic at the site of os acromiale. This can be done with injection of 5 mL of 1% lidocaine with reexamination 10 minutes afterwards 24. This is an important confirmatory diagnostic tool to determine whether the os acromiale is the source of pain 20.…”

Section: Diagnosticsmentioning

confidence: 99%

“…This is an important confirmatory diagnostic tool to determine whether the os acromiale is the source of pain 20. Thereby, it is reasonable to perform a one-time corticosteroid injection in those patients who benefit temporarily from lidocaine injections 24…”

Section: Diagnosticsmentioning

confidence: 99%

“…In contrast, when nonoperative management fails, surgery is the next treatment option for symptomatic os acromiale. Several surgical techniques have been described, such as open or arthroscopic fragment excision, acromioplasty,24–27 and several techniques of open reduction and internal fixation (ORIF). Internal fixation can be done with cannulated screws alone or in combination with tension band, tension band wiring,4,20,26,28–31 and by arthroscopic resection of unstable fragments17,18,25,26,31-33 ORIF can be done with or without autologic (iliac crest bone graft) or allogenic bone graft (Table 2).…”

Section: Therapymentioning

confidence: 99%

See 1 more Smart Citation

Optimal management of symptomatic os acromiale: current perspectives

Spiegl¹,

Millett²,

Josten³

et al. 2018

ORR

View full text Add to dashboard Cite

The majority of os acromiale is asymptomatic and requires no treatment. In patients with shoulder pain, os acromiale is a possibility in the differential diagnosis and may imitate shoulder impingement. The diagnosis of symptomatic os acromiale can be proven by combining physical examination, conventional radiographs, magnetic resonance imaging, and selective injections. Surgical treatment is indicated in those patients with failed conservative therapy, in those with highly painful and unstable os acromiale, or in those with associated shoulder pathologies such as rotator cuff tears. Open or arthroscopic excision is indicated in patients with pre-type os acromiale. In meso-type acromiale, arthroscopic excision, acromioplasty, or open reduction and internal fixation have all been used, but fixation is usually preferred. Internal fixation should be done either with cannulated screws alone or in combination with tension band, which has biomechanical advantages.

show abstract

Arthroscopic Excision of a Symptomatic Meso-acromiale

Cited by 9 publications

References 18 publications

Os Acromiale: Reviews and Current Perspectives

Os Acromiale: Reviews and Current Perspectives

The unstable os acromiale: a cause of pain in the young athlete

Optimal management of symptomatic os acromiale: current perspectives

Contact Info

Product

Resources

About