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VOLUME 6 , ISSUE 1 ( January-June, 2023 ) > List of Articles

RESEARCH ARTICLE

Study of Acromion Process in North Indians and Its Role in Impingement Syndrome

Suraj Prakash, Neeta Chhabra

Keywords : Acromion process, Enthesophytes, Impingement syndrome

Citation Information : Prakash S, Chhabra N. Study of Acromion Process in North Indians and Its Role in Impingement Syndrome. Journal of Medical Academics 2023; 6 (1):8-14.

DOI: 10.5005/jp-journals-11003-0129

License: CC BY-NC 4.0

Published Online: 28-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: The acromion process is a lateral extension of the spine of the scapula. Anatomical variation in the coracoacromial arch and the underlying subacromial space has an important bearing on shoulder mechanics and surgical interventions. Impingement syndrome is a pathological condition that is predominantly found in people with truncated subacromial space. The present study deals with acromion measurements and their importance in pathological conditions of the shoulder region. Methods: The present study was an observational study conducted on 126 adult human scapulae of unknown age and sex after obtaining ethical clearance. The following parameters were analyzed: acromion shape; maximum length of acromion (MLA); maximum breadth of acromion; thickness of acromion (TA); acromio-glenoid, and acromio-coracoid distance (ACD). Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) version 19.0. Results: Curved acromion was the most common shape in the present study; the mean length of the acromion was 44.34 ± 4.98 mm; mean breadth was 24.57 ± 2.57 mm; mean thickness was 7.18 ± 1.21 mm; mean ACD was 26.05 ± 3.94 mm; and the mean acromio-glenoid distance (AGD) was 18.17 ± 2.34 mm. Conclusion: Acromion morphology is an important parameter for surgeons and anthropological scientists.


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  1. Bigliani LH, Morrison DS, April EW. The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 1986;10:228.
  2. Paraskevas G, Tzaveas A, Papaziogas B, et al. Morphological parameters of the acromion. Folia Morphol 2008;67(4):255–260.
  3. Mansur DI, Khanal K, Haque MK, et al. Morphometry of acromion process of human scapulae and its clinical importance amongst Nepalese population. Kathmandu Univ Med J (KUMJ) 2012;10(38):33–36. DOI: 10.3126/kumj.v10i2.7340
  4. Edelson JG, Taitz C. Anatomy of the coraco-acromial arch. Relation to degeneration of the acromion. J Bone Joint Surg Br 1992;74(4):589–594. DOI: 10.1302/0301-620X.74B4.1624522
  5. Torres CA, Riberio CS, Maux SXDA, et al. Morphometry of acromion process and its clinical importance. Int J Morphol 2007;25(1):51–54.
  6. Canale ST, Beaty JH, Linda Jones KD. Campbell's Operative Orthopaedics. 11th edition, vol 3, Philadelphia: Elsevier Inc. 2008; 2603, 2609, 2610, 2612, 2616.
  7. Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. 1972. J Bone Joint Surg Am 2005;87(6):1399. DOI: 10.2106/JBJS.8706.cl
  8. Farley TE, Neumann CH, Steinbach LS, et al. The coracoacromial arch: MR evaluation and correlation with rotator cuff pathology. Skeletal Radiol 1994;23(8):641–645. DOI: 10.1007/BF02580386
  9. Hirano M, Ide J, Takagi K. Acromial shapes and extension of rotator cuff tears: magnetic resonance imaging evaluation. J Shoulder Elbow Surg 2002;11(6):576–578. DOI: 10.1067/mse.2002.127097
  10. Getz JD, Recht MP, Piraino DW, et al. Acromial morphology: relation to sex, age, symmetry, and subacromial enthesophytes. Radiology 1996;199(3):737–742. DOI: 10.1148/radiology.199.3.8637998
  11. Aoki M, Ishii S, Usui M. The slope of the acromion and rotator cuff impingement. Orthop Trans 1986;10:228.
  12. Ogata S, Uthoff HK. Acromial enthesopathy and rotator cuff tear. Clin Orthop Relat Res 1989;254:39–48.
  13. Gohlke F, Barthel T, Gandorfer A. The influence of variations of the coracoacromial arch on the development of rotator cuff tears. Arch Orthop Trauma Surg 1993;113(1):28–32. DOI: 10.1007/BF00440591
  14. Nicholson GP, Goodman DA, Flatow EL, et al. The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg 1996;5(1):1–11. DOI: 10.1016/s1058-2746(96)80024-3
  15. Tucker TJ, Snyder SJ. The keeled acromion: an aggressive acromial variant–a series of 20 patients with associated rotator cuff tears. Arthroscopy 2004;20(7):744–753. DOI: 10.1016/j.arthro.2004.06.018
  16. Natsis K, Tsikaras P, Totlis T, et al. Correlation between the four types of acromion and the existence of enthesophytes: a study on 423 dried scapulas and review of the literature. Clin Anat 2007;20(3):267–272. DOI: 10.1002/ca.20320
  17. Yukio IR, Duarte BA, Alves Do MF, et al. Acrômio em forma de gancho: uma variacçaão anatômica ou um processo degenerativo? Rev bras ortop 2005;40(8):454–463.
  18. Hamilton FH. Fracture of the scapulas in a practical treatise on fractures and dislocations. Ed.5. Philadelphia, Henry C. Lea 1875. 209–221.
  19. Aydin A, Yildiz V, Kalali F, et al. The role of acromion morphology in chronic subacromial impingement syndrome. Acta Orthop Belg 2011;77(6):733–736.
  20. Epstein RE, Schweitzer ME, Frieman BG, et al. Hooked acromion: prevalence on MR images of painful shoulders. Radiology 1993;187(2):479–481. DOI: 10.1148/radiology.187.2.8475294
  21. Gill TJ, McIrvin E, Kocher MS, et al. The relative importance of acromial morphology and age with respect to rotator cuff pathology. J Shoulder Elbow Surg 2002;11(4):327–330. DOI: 10.1067/mse.2002.124425
  22. Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg 1995;4(5):376–383. DOI: 10.1016/s1058-2746(95)80022-0
  23. Bigliani LU, Ticher JB, Flatow EL, et al. The relationship of acromial architecture to rotator cuff disease. Clin Sports Med 1991;10(4):823–828.
  24. Singh J, Pahuja K, Agarwal R. Morphometric parameters of the acromion process in adult human scapulae. Indian J Basic Appl Med Res 2013;8(2):1165–1170.
  25. Nweke CI, Oladipo GS, Alabi A. Osteometry of acromion process of adult Nigerians: clinical and forensic implications. J Appl Biotechnol Bioeng 2017;2(1):25–30. DOI: 10.15406/jabb.2017.02.00021
  26. Coskun N, Karaali K, Cevikol C, et al. Anatomical basics and variations of the scapula in Turkish adults. Saudi Med J 2006;27(9):1320–1325.
  27. Singroha R, Verma U, Malik P, et al. Morphometric study of acromion process in scapula of North Indian population. Int J Res Med Sci 2017;5(11):49–65. DOI: 10.18203/2320-6012.ijrms20174953
  28. Collipal E, Silva H, Ortega L, et al. The acromion and his different forms. Int J Morphol 2010;28(4):1189–1192.
  29. Schetino LP, Sousa RR, Amâncio GPO, et al. Anatomical variations of acromions in Brazilian adult's scapulas. J Morphol Sci 2013;30(2):98–102.
  30. Guo X, Ou M, Yi G, et al. Correction between the morphology of acromion and acromial angle in Chinese population: a study on 292 scapulas. Biomed Res Int 2018;2018:3125715. DOI: 10.1155/2018/3125715
  31. Inklebarger J, Gyer G, Parkunan A, et al. Rotator cuff impingement associated with type III acromial morphology in a young athlete-a case for early imaging. J Surg Case Rep 2017;2017(1):rjw234 DOI: 10.1093/jscr/rjw234
  32. Worland RL, Lee D, Orozco CG, et al. Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. J South Orthop Assoc 2003;12(1):23–26.
  33. Balke M, Schmidt C, Dedy N, et al. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop 2013;84(2):178–183. DOI: 10.3109/17453674.2013.773413
  34. Almokhtar AA, Qanat AS, Mulla A, et al. Relationship between acromial anatomy and rotator cuff tears in Saudi Arabian population. Cureus 2020;12(5):e8304. DOI: 10.7759/cureus.8304
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