Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
Views
6240
Download
181
from September 2014
 
©Journal of Sports Science and Medicine (2012) 11, 352 - 356

Case report
Painful os Acromiale: Conservative Management in a Young Swimmer Athlete
Antonio Frizziero1, , Maria G. Benedetti2, Domenico Creta3, Antonio Moio4, Stefano Galletti5, Nicola Maffulli6
Author Information
1 Department of Orthopaedic Rehabilitation, University of Padova, Padova, Italy
2 Department of Physical Medicine and Rehabilitation, Rizzoli Orthopaedic Institute, Bologna, Italy
3 Department of Shoulder Rehabilitation, M.F. Toniolo Institute, Bologna, Italy
4 Department of Radiology, Rizzoli Orthopaedic Institute, Bologna, Italy
5 Ultrasonography for Musculoskeletal Pathologies Unit, Rizzoli Orthopaedic Institute, Bologna, Italy
6 Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, Mile End Hospital, London, England

Antonio Frizziero
‚úČ Department of Orthopaedic Rehabilitation, University of Padova, Via Giustiniani 2, 35100 Padova, Italy
Email: antonio.frizziero@unipd.it
Publish Date
Received: 10-11-2011
Accepted: 15-02-2012
Published (online): 01-06-2012
Share this article
 
 
ABSTRACT

An os acromiale (OA) arises from a fusion failure of the anterior acromial apophysis. This case report presents the successful management of a painful OA associated to rotator cuff impingement in a competitive swimmer, based on ultrasonographic diagnosis and conservative management. Rest from sport activity, oral anti-inflammatory drugs and previous attempt of treatment of shoulder pain were ineffective. After two months of conservative treatment consisting of avoidance of swimming, local anti-inflammatory, physical therapy with ice, strengthening exercises with elastic bands to strengthen the scapular stabilizing muscles, rotator cuff and lowering humeral head muscles, the patient was pain free and all specific clinical tests for impingement syndrome (Neer, Hawkins, Whipple and Yocum tests) were negative. Digital compression of the OA site was not painful, and the Jobe and Palm-up tests were negative. The athlete returned to swim continuing the rehabilitation exercises, and the successful results were maintained at one year follow up. An unstable and symptomatic OA can be easily diagnosed with ultrasound exam. Rehabilitation for rotator cuff tendinopathies or/and bursitis can be a valid alternative to surgery.

Key words: Shoulder, acromion, deformities, swimming, echography, rehabilitation


           Key Points
  • An os acromiale (OA) arises from a fusion failure of the anterior acromial apophysis.
  • A correct diagnosis of OA associated to rotator cuff impingement can be performed by ultrasonographic exam.
  • A conservative management of rotator cuff impingement syndrome, associated to OA, can be planned in athletic patients as a valid alternative to surgery.
 
 
Home Issues About Authors
Contact Current Editorial board Authors instructions
Email alerts In Press Mission For Reviewers
Archive Scope
Supplements Statistics
Most Read Articles
  Most Cited Articles
 
  
 
JSSM | Copyright 2001-2020 | All rights reserved. | LEGAL NOTICES | Publisher

It is forbidden the total or partial reproduction of this web site and the published materials, the treatment of its database, any kind of transition and for any means, either electronic, mechanic or other methods, without the previous written permission of the JSSM.

This work is licensed under a Creative Commons License Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.