PURPOSE To evaluate the association of acromial morphology and subacromial impingement. METHODS Bilateral shoulder computed tomography was performed in 138 patients who received shoulder arthroscopy. Measured parameters included: acromial tilt (AT), modified acromial tilt (mAT), acromial slope (AS), acromiohumeral interval (AHI), lateral acromial angle (LAA), acromial index (AI), critical sho...

BACKGROUND AND PURPOSE Indications for acromioplasty are based on clinical symptoms and are generally supported by typical changes in acromial morphology on standard radiographs. We evaluated 5 commonly used radiographic parameters of acromial morphology and assessed the association between different radiographic characteristics on the one hand and subacromial impingement or rotator cuff tears ...

Impingement syndrome is usually caused by irritation of the rotator cuff within the sub acromial space and this includes the coraco-acromial arch (Acromion and Coraco-acromial ligament), the acromio-clavicular joint and occasionally the coracoid. Iatrogenic causes such as sutures, pins, plates or wires left from previous surgery can cause similar symptoms. We present a series of four cases mimi...

Magnetic resonance imaging makes it possible to inspect the status of the rotator cuff and the shape of the acromion. To clarify the relationship between acromial shapes and rotator cuff tears, we evaluated magnetic resonance images obtained in 192 shoulders. We classified the acromial shapes into 3 types: type I (flat), type II (curved), and type III (hooked). Among a group of 91 shoulders wit...

The influence of individual acromial morphology on the pathogenesis of rotator cuff tears remains controversial. Since Neer first described the impingement syndrome, several authors have described the morphology of the acromion. In this study, we try to find a physiopathological correlation between the anatomical morphology of the acromion based on these two recently descripted parameters (Acro...

: Acromial stress fractures are rare and have not been highlighted as a potential complication of wheelchair use. We report the case of a 22-year old female wheelchair bound patient with Charcot-Marie-Tooth disease who presented with a four-year history of shoulder pain which impaired mobility and quality of life. Plain radiographs showed a cortical irregularity of the acromion but no double-de...

3 INSERTION OF THE CORACO-ACROMIAL LIGAMENT IN THE ACROMION: HISTOLOGIC STUDY OF THE DEGENERATIVE ENDOCHONDRAL OSSIFICATION O. Lech, MD, J. Barbosa, MD, A. Gailit, Jr, MD, and A. Marcolan, MD; Instituto de Ortopedia e Traumatologia de Passo Fundo, RS, Brazil The authors evaluate the incidence of degenerative endochondral ossification at the insertion of the coraco-acromial ligament (CAL) in the...

1 of 2 DESCRIPTION A 2-month-old female infant was referred to the paediatrician because the parents had noticed dimples on both shoulders. The lesions were present at birth. The baby was born at 38+5 weeks by vaginal delivery after an uncomplicated pregnancy. She was the fi rstborn child of non-consanguineous parents. Physical examination was unremarkable except for two symmetrical dimples wit...

s everal intrinsic and extrinsic factors have been advoated in the pathogenesis of rotator cuff tears, but it is till unclear whether the origin of the tear is related to endon degeneration itself or induced by several morhologic changes. The purpose of this study is to deermine the relationship between the acromial coverge of the humeral head and the presence of a cuff ear. We evaluated 148 sh...