| BILATERAL
OS ACROMIALE IN A DIVISION I BASKETBALL PLAYER |
Christina D. Davlin
and Dave Fluker |
Department of Sport Studies, Xavier University, Cincinnati, OH, USA
| Received |
|
31 July 2003 |
| Accepted |
|
02
October 2003
|
| Published |
|
01 December 2003 |
©
Journal of Sports Science and Medicine (2003) 2, 175-179
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An unfused acromial
epiphysis, called os acromiale, can become unstable and mobile when the
deltoid contracts. This may cause pain and lead to impingement syndrome
and rotator cuff tearing. After sustaining a direct blow to the right shoulder,
a male division I basketball player was diagnosed with impingement syndrome
and an os acromiale. Following failed conservative treatment, the athlete
underwent arthroscopic subacromial decompression & debridement of the loose
os acromiale in the right shoulder. One year later, following a fall on
the left shoulder, the athlete was diagnosed with os acromiale, impingement
syndrome and a superior labrum anterior-posterior (SLAP) lesion. Arthroscopic
repair of the unstable type II SLAP lesion, together, with arthroscopic
subacromial decompression, and resection of the os acromiale was performed
on the left shoulder. Both surgeries were successful and the athlete was
able to return to competition subsequent to completing a progressive shoulder
rehabilitation program. Symptomatic os acromiale is rarely seen in young
athletes. However, proper diagnosis and management is necessary for a successful
recovery. Os acromiale should be considered as a part of the differential
diagnosis in any athlete with rotator cuff impingement symptoms.
KEY WORDS: Injury, shoulder, athlete, rehabilitation, diagnosis
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