An Os acromiale is a condition that results from the failure
of fusion of the anterior acromial apophysis. It can be asymptomatic. It can
also result in subacromial impingement and rotator cuff tear. In this case
report of a 39 year-old lady we would like to present the management of the
painful bursitis and spur formation on the superior surface of a meso-type of
os acromiale. Conservative management in the form of rest, anti-inflammatory
drugs and physiotherapy did not provide symptomatic relief. Patient then
underwent surgical excision of the superior spur. Open reduction and internal
fixation was not carried out. Patient had resolution of pain and no recurrence of
symptoms or features of impingement at 6 months follow up. To the best of our
knowledge there are limited reports in English literature about this rare
subset of patients with symptomatic os acromiale with superior spur formation
and with no features of impingement or cuff pathology.
Author(s) Details
Dr. A. Raviraj
Department of Orthopedic Surgery, Apollo Hospitals, Bannerghatta Road, Bangalore-560076, India.
Dr. Vidyasagar Maalepati
Department of Orthopedic Surgery, Apollo Hospitals, Bannerghatta Road, Bangalore-560076, India.
Ashish Anand
Department of Orthopedics, University of Mississippi Medical Center, Jackson, VAMC Jackson, Mississippi, USA.
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