OS acromiale, its clinical significance, and how to identify this unfused acromial ossification center.

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OS ACROMIALE SHOULDER MRI RADIOLOGY (VIDEO)

OS ACROMIALE SHOULDER MRI RADIOLOGY

HOW TO FIND AN OS ACROMIALE ON MRI SHOULDER

  • Os Acromiale can be a source of shoulder pain and is easy to miss if you don’t look specifically.

  • In this post we look at a structured way to find them.

  • See the video below which demonstrates how to find an os acromiale on MRI Shoulder.

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An os acromiale is a persistent accessory ossification centre of the lateral acromion.

  • It’s normal to see the accessory ossification centre until around 15 years of age.
  • But there should be complete fuse by 25.
  • If there is non-fusion and a persistent os after 25, it’s termed an os acromiale.
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It may be completely asymptomatic but there are two potential complications.
 

  1. Impingement on the Rotator Cuff tendons.
     
  2. Acromial apophysiolysis.


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  • There can be abnormal movement between the acromion and the OS Acromiale.
  • This results in the OS moving inferiorly & impinging on the RCT.
  • Additionally, if there is malalignment between the OS and the Clavicle, this can lead to narrowing of the subacromial space.
  • For acromial apophysiolysis, we will look at this specifically in our other post HERE.

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  • So how do you best recognise an Os Acromiale on Shoulder MRI.
  • Its easy to miss if you don’t look for it specifically and the key is to look at the axial scans where it is most obvious.
  • You can see it on coronal images but its much harder and sagittals are not much help.
  • See the video below which demonstrates how to find an os acromiale on MRI Shoulder.

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HOW DO YOU FIND AN OS ACROMIALE: VIEW VIDEO

If you wish to watch the video in language other than English, please view it on our YouTube Channel HERE

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