1. Rotator cuff impingement associated with Type III acromial morphology in a young athlete—a case for early imaging
- Author
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Giles Gyer, Jimmy Michael, James Inklebarger, Nikiforos Galanis, and Anand Parkunan
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Type III acromion ,business.industry ,Soft tissue ,Diagnostic accuracy ,Case Report ,030218 nuclear medicine & medical imaging ,Surgery ,Conservative treatment ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,medicine ,Shoulder Impingement Syndrome ,Rotator cuff ,In patient ,Acromion ,business - Abstract
Down-sloped or hooked acromion morphologies may cause bony encroachment on the soft tissues of the subacromial space, predisposing to shoulder impingement syndrome. Of the latter, a hooked or Type III acromion (T3A) has also been linked to rotator cuff (RC) pathology. However, as bony acromial impingement is typically thought to occur over the age of 40, its occurrence in younger shoulder athletes presenting with shoulder pain, impingement and RC pathology may be overlooked. This case serves to illustrate the occurrence of T3A in a younger shoulder athlete, and the importance of early imaging in achieving diagnostic accuracy. Appropriate surgical referrals are patients with subacromial impingement syndrome refractory to 3–6 months of appropriate conservative treatment. Surgery may be particularly beneficial in patients with a T3A.
- Published
- 2017