2 years (range 16 to 75 years). The acromioclavicular joint is an important component of the shoulder girdle; it links the axial skeleton with the upper limb. 1326 Arrowmink Rd was last sold on Jun 16, 1995 for $1,500,000. The deltoid muscle (acromion) arises from the acromion process of the dog’s scapula that extends distally. The Rent Zestimate for this Single Family is $16,557/mo, which has increased by $134/mo in the last. (See also "Amurka"). It is a key anatomic structure in the shoulder joint, as it forms the top portion of the shoulder girdle and helps to support and stabilize the arm. 726 Cedar Ln, Villanova, PA 19085. montgomery countyThe Acromion Anomaly. De forme triangulaire, l’acromion surplombe la cavité glénoïde qui s’articule avec la tête de l’humérus. In about half of those affected, the pain goes away within six months. Acromion width: distance from the most lateral margin to the glenoid plane. type III: fractures of the posterior acromion or scapular spine. It may cause shoulder impingement, rotator cuff tear or degenerative acromioclavicular joint disease 5 . Subacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. Furthermore, with the variety of information we offer about people with the. Ft. Only in the axial plane is one able to reliably visualize both the AC joint and the os acromiale on a single slice. It consists of a proximal end, a shaft and a distal end, all which contain important anatomical landmarks. The Zestimate for this Single Family is $971,200, which has decreased by $15,380 in the last 30 days. jamila h. Providers diagnose BME with blood tests, MRI and ultrasound. Providers diagnose BME with blood tests, MRI and ultrasound. A clavicle fracture is diagnosed through a physical examination and X-rays. 2) The Subacromial Bursa. kyphosis. Underlying health conditions, injury or infection cause it. The fibres attach to the clavicle, acromion, and the scapula spine. Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues when the arm is lifted away from the body. The acromioclavicular joint is an important component of the shoulder girdle; it links the axial skeleton with the upper limb. Anatomie. 2002 Sep-Oct;11 (5):521-8. 7,413 Sq. The Zestimate for this Single Family is $3,214,600, which has decreased by $68,700 in the last 30 days. ft. It happens when the cartilage wears down between the collarbone and the acromion, the bony. n. 152 Garrett Rd. The surfaces of the acromio-acromion new joint were scraped and an anteroposterior slot shaped groove, which preserved the lower cortex and bridged the new joint was dug with. ” At first glance, it doesn’t seem so important — why does a small projection of bone even matter in a joint that is already so. Other possible causes include bone spurs of the acromion, acromioclavicular (AC) joint osteophytes, or an os acromiale . Based on Redfin's Villanova data, we estimate the home's value is $982,930. This study's objective was to determine using a systematic review and meta-analysis the association of acromion type and acromial index with the prevalence of RTC tears. Surgeons carry out the procedure to relieve the impingement of the rotator cuff. The tour begins with the upper extremity, then addresses the axial body, and concludes with the lower extremity. pain that goes. 65 acre lot with 5 bedrooms and 5 bathrooms. Ft. It articulates with the clavicle and is the origin of the deltoid and trapezius muscles. The acromion (plural: acromia), also known as the acromial process, is a small projection of the scapula that extends anteriorly from the spine of the scapula. Other causes of shoulder pain include things like frozen. house located at 1309 Arrowmink Rd, Villanova, PA 19085 sold for $360,000 on Aug 23, 1994. Investigation Discovery’s ‘Homicide City: Main Line Massacre’ features how the police used old-fashioned detective work to solve the triple homicide. 5 cm to 5 cm) below the acromion process. It is a bony process. APN 400047168006. In a recent anatomic and morphometric study of the scapula, the acromial shape was found to be flat in 23%, curved in 63%, and hooked. Comparison to opposite CC joint space is more important. Range of motion determination, muscle testing, neurologic assess ment, and special tests. (A) Acromion length: distance from the anterior tip to the posterior tip. See photos and price history of this 5 bed, 6 bath, 6,028 Sq. The acromion connects with the collar bone (clavicle) very close to the ball and socket (glenohumeral) joint of the shoulder. 2. hair. Gross anatomy It forms the acromioclavicular joint (ACJ) with the lateral third of. However, imaging has an important role in supporting the diagnosis, finding the possible cause as well as sequelae of impingement. The shoulder is composed of the humerus, glenoid, scapula, acromion, clavicle and surrounding soft tissue structures. Cartilage (flexible but tough tissue) forms a cushion between them. 12/5/2011 0730 unit block rock hill rd, bcyn burglary-force-non res-nightName: G Morris Dorrance, Phone number: (610) 525-1489, State: PA, City: Villanova, Zip Code: 19085 and more informationThe key to the simple and reliable diagnosis of the os acromiale lies in these upper axial images. Presents with progressive pain in the anterior superior shoulder, typically worsening by abduction and relieved by rest. The acromion is part of the scapula or shoulder blade that extends laterally over the shoulder joint. The Rent Zestimate for this Single Family. 68 acre lot with 4 bedrooms and 2. Fishing spots and baits to use at Arrowmink Creek? View our maps and read detailed fishing reports from nearby anglers. Arromycin. The rotator cuff lies under the roof of the shoulder (an extension of the shoulder blade known as the. Acromion fractures constitute 8%–16% of scapula fractures 1. 4A. Medically reviewed by David Hampton, MD. Il est caractérisé par une face supérieure (convexe et rugueuse) et une face inférieure (lisse et concave). We consider that this incidence is understated and will increase with improved surgeon awareness of the diagnosis,. (1) Acromioclavicular ligament：連結 acrominal與clavicle. 5 bath home. AC joint symptoms are another common shoulder problem, resulting from both direct injury to the ACacromion jelentése, fordítása magyarul » DictZone Orvosi-Magyar szótár. . Getting there: Exit for Goldstream, drive across bridge and follow road left for approximately 600 meters to an obvious turn around spot just before leaving park boundary. Sold. 1321 Arrowmink Rd, Villanova, PA 19085 - 6,028 sqft home built in 2007 . It occurs when excess fluid builds up in a bursa, the cushioning pad between bones and tissue in joints. The muscles and tendons of the rotator cuff and the long head of the biceps, are seen. View sales history, tax history, home value estimates, and overhead views. Take a look. Acromioclavicular Dislocation Acromioclavicular dislocation is a common injury, occurring in greater than 10% of shoul-der. Contents Overview Symptoms and Causes Diagnosis and. Resistance exercise program (within 2–3 weeks) – dynamic shoulder girdle stabilization. Synonyms: none. 2 7. For Sale: Single Family home, $2,050,000, 5 Bd, 6 Ba, 6,028 Sqft, $340/Sqft, at 1321 Arrowmink Rd, Villanova, PA 19085Primarily, subacromial impingement is a clinical diagnosis and one should not make a diagnosis or exclude it solely based on imaging. The most common conditions of the acromioclavicular joint are arthritis, fractures and separations. Nearby homes similar to 1415 Spring Mill Rd have recently sold between $625K to $3M at an average of $305 per square foot. Be sure there is clear documentation that bony work was performed on the acromion to support +29826. Prepare for success with accurate data about the type of fish that are caugh in Arrowmink Creek, learn what baits are. 5 cm in width and is roughly 5 cm long. 1. Other resources: 2016 Integrated Report Viewer. Synonyms: none. Repetitive traction forces related to pulling of the deltoid on the developing acromion may result in failure of fusion of the acromion, also known as acromial apophysiolysis, and formation of an os acromiale which may or may not be symptomatic. 1321 Arrowmink Rd, Villanova, PA 19085 is a 5 bedroom, 6 bathroom, 6,028 sqft single-family home built in 2007. Definition and meaning can be found here:fractures are increasingly seen as a postoperative complication following reversed shoulder arthroplasty. The injection site is in the middle of the deltoid muscle, about 1 inch to 2 inches (2. Proton density–weighted coronal oblique image shows unilocular mass of fluid signal intensity (white arrowheads) between acromion process (A) and. For this exercise, all you need is a blank wall and a towel. Shoulder bursitis is the most common type of bursitis. The acromioclavicular capsule and ligaments stabilize the joint in the. flat inferiorly; curved: parallel to the humeral head with convex undersurface - considered the commonest type hooked: the most anterior portion of the acromion has a hooked shape, associated. This list is for informational purposes only, and Pennsylvania Code; Title 25; Chapter 93. Os acromiale is an uncommon cause of shoulder pain with symptoms often resulting from an unstable meso-acromion. The Rent Zestimate for this Single Family is $5,478/mo, which has increased by $23/mo in the last 30 days. However, traumatic fractures of the acromion, usually caused by direct trauma, are rare. 5 Beds. 1208 Ridgewood Rd, Bryn Mawr, PA 19010. Dopirak The acromion develops from four different centers of ossification: the preacromion, mesoacromion, meta. swelling. Updated on August 14, 2023. The development of the acromion proceeds from many nuclei forming in the acromial apophysis, which was already described in 1933. It forms the acromioclavicular joint with your clavicle (collarbone) and is located above the glenohumeral joint. ommissioner. The police arrived soon after and discovered 77-year-old Courtlandt, 72-year-old Alexandra, and their 69-year-old housekeeper, Catherine VanderVeur, dead. The acromion is a part of the scapula bone or shoulder blade of the pectoral girdle. ; Serratus anterior is inserted along the medial border of costal surface; 1. 1744. schizophrenia. tenderness around your AC joint. Os acromiale represents an unfused accessory center of ossification of the acromion of the scapula. hair. The primary coordinates for Arrowmink Creek places it within the PA 19428 ZIP Code delivery area. In the adult, it measures ∼2. The spine forms two process called acromion and carocoid. joint capsule: ruptured. In the adult, it measures ∼2. 1309 arrowmink rd , villanova, PA. Although the morphology of the acromion has been shown to be an. The AC joint is strong, but its location makes it vulnerable to injury from trauma. The acromioclavicular (AC) joint is formed by the cap of the shoulder (acromion) and the collar bone (clavicle). La prise d'antalgiques, d'anti-inflammatoires non. Acute pain. Musculoskeletal (MSK) ultrasound is an excellent tool to obtain dynamic real-time anatomic information about the severity and etiology of shoulder. But in some people it can. scoliosis. Use a focused physical exam and imaging to make the diagnosis. glenoid: 10-11 years. 1230 arrowmink RD, Villanova, PA 19085. g. 2,538 Sq. the fluid. The associated pain may be due to impingement from the unfused fragment,. The hook portion of the plate resists downward displacement of the arm through its position under the acromion. anterior curvature of the lumbar spine (swayback) Study with Quizlet and memorize flashcards containing terms like acromion process, acromioclavicular. View 1 photos for 1230 Arrowmink Rd, Villanova, PA 19085, a 4 bed, 6 bath, 10,519 Sq. <25 mm) or 5mm greater than this distance on the contralateral side. posterior curvature of the thoracic spine (hunchback) lordosis. Ft. The main symptom of shoulder impingement is sudden pain in your shoulder when you lift your arm overhead or backward. involutes with age, disintegrates by age 40. articulation of the scapula (medial acromion) and the lateral clavicle. Topic Podcast Images summary An Os Acromiale is an unfused secondary ossification center of the acromion that can be associated with shoulder impingement and rotator cuff tendonitis. Acromion pain can come from many different things, including sprains, strains, fractures, impingement, bursitis, and arthritis There are many ways of dealing with pain, and they’re usually specific to the injury — for non-traumatic injuries, starting with a light upper-body exercise program that progressively gets harder is a great method The Acromion is an anatomical feature on the scapula (the shoulder blade). 2 Overall, os acromiale are widespread in the population, occurring in 8% of. The acromioclavicular joint is one of the letter. The Zestimate for this Single Family is $2,963,900, which has decreased by $25,561 in the last 30 days. It is also useful in seeing both the coracoid and acromion process in profile. The shape of the acromion has been initially divided into 3 types (which was known as the Bigliani classification), to which a fourth has been added:. 5 Beds. N. About the Acromion It helps stabilize your shoulder joint. Administer the vaccine correctly. Type II is the most common type and is gradual curve along the head of the shoulder. 7,413 Sq. 07)This is a bolted line up the west face of Mt. What You Need to Know. It forms the acromioclavicular joint with your clavicle (collarbone) and is located above the glenohumeral joint. Le repos avec l'arrêt, au moins temporaire, de la musculation et du port de poids au-dessus du plan de l'épaule est primordial. See the estimate, review home details, and search for homes nearby. The conditions cause pain and can affect arm mobility. This property is not currently available for sale. large, rounded, triangular shape. Med skuldersmerter menes smerter udgående fra strukturer i og omkring selve skulderleddet (glenohumeralleddet) eller acromioclavicularleddet (AC-leddet) Rotatorcuffen. 9a to 93. Subacromial bursitis is a condition that causes inflammation and pain in the shoulder joint. 2002. It contains 7 bedrooms and 6 bathrooms. The distal pull of the deltoid muscle results in distal. 34±4. A resident of the United States of America. winder, v. The first is the acromioclavicular joint, which is formed by the acromial end of the clavicle and the acromion of the scapula respectively. View 1 photos for 1326 Arrowmink Rd, Villanova, PA 19085, a 7 bed, 7 bath, 7,676 Sq. Subacromial bursitis is a condition that causes inflammation and pain in the shoulder joint. Diagnosis is a clinical one however MRI imaging can be useful to. 1309 Arrowmink Rd, Villanova PA, is a Single Family home that contains 3171 sq ft and was built in 1953. Synonym(s): elbow bone , olecranon process , point of elbow , tip of. The acromion is a scapular process arising from four separate centers of ossification: a basi-acromion, a meta-acromion, a meso-acromion, and a pre-acromion (Fig. 67 mm, while the left had an average of 28. They constitute 8%–16% of scapula fractures , . The acromion is a large, flat bony anatomical structure that arises from the lateral end of the spine of the scapula and projects anteriorly to articulate with the lateral end of the clavicle. 14-7). Based on Redfin's Gladwyne data, we estimate the home's value is $1,858,232. articulation of the scapula (medial acromion) and the lateral clavicle. (610) 947-0408. Supraspinatus tendinopathy is a common source of shoulder pain in athletes that participate in overhead sports (handball, volleyball, tennis, baseball). When it becomes. Diagnosis can be made with plain radiographs and CT studies are helpful for fracture characterization and surgical planning. The acromion articulates with the distal clavicle through the acromioclavicular joint capsule, and the distal clavicle in turn is connected to the coracoid through the conoid and trapezoid ligaments, whilst the coracoacromial ligament directly connects the acromion with the coracoid. It acts as a spacer between the acromion bone and the humeral head. Bigliani types of acromion and critical shoulder angle (CSA) have been implicated as indicators of rotator cuff disease. It serves as an important landmark of the skeletal system, and provides muscle. 227 Excessive lowering of the humerus can lead to arm lengthening and thus increased. The spine forms two process called acromion and carocoid. There you may find a nutrient foramen at the junction of the distal extension of the spine and the scapular proper. About the Acromion It helps stabilize your shoulder joint. 7,413 Sq. The acromion is a posterior shoulder landmark; it is a posterolateral extension of the scapular spine, superior to the glenoid. Quels sont les traitements médicaux et chirurgicaux en cas d'arthrose acromio-claviculaire ? Le traitement non chirurgical est indiqué dans un premier temps. One of those details is the acromion. The deltoid muscle is detached from the acromion during the procedure and reattached at the end of the procedure. 2016 PA Integrated Report. It contains 5 bedrooms and 6 bathrooms. $3,495,000 6 Bd 5 Ba 10,519 Sqft $332/Sqft. Other resources: 2016 Integrated Report Viewer. Sometimes authors include a 6 th bursal space which is the. Surgical management of the symptomatic os acromiale. Seit den Anfängen der modernen Schulterchirurgie rückte das Akromion immer wieder in das Zentrum der Pathogenese von Rotatorenmanschettendefekten und dem „subakromialen Schmerzsyndrom“. This causes the "separation" of the collarboneThe scapula permits a range of motion for the shoulder. Since there are no muscles that act directly on. The classification system, broken into five categories communicates both the stability and treatment recommendation of the fracture. The average width of the. curved (56%) parallel to the humeral head with a concave undersurface. 9a to 93. Normal distance is 11-13mm. 5 bathrooms. long head of biceps tendon. The acromioclavicular joint space measures 1-6 mm (females) and 1-7 mm (males), decreasing with age 12 . To accurately type the undersurface of the acromion on MRI, evaluate the first or second image lateral to the AC joint on the oblique sagittal imaging plane . Acromion fractures are rare injuries. Treatment for AC joint problems ranges from non-operative to. Insert needle at a 90° angle to the skin with a quick thrust. It is then often referred to as shoulder impingement. effusion 4. The acromioclavicular joint is one of the letter. MLS# PAMC2066356. 5 acre lot with 5 bedrooms and 5 bathrooms. Development of better diagnostic and therapeutic tools have helped to improve the treatment of coracoid and acromion fractures. Type 2 highlights a curved acromion, which begins to protrude and hang over the ball of the shoulder more than usual, therefore creating less subacromial space and a higher risk for impingement and abrasions to muscle and bursae. Sold. 1. Her previous addresses are as follows: 1240 Arrowmink Rd, Apt PA1908, Villanova, PA, 19085-2128 · 79 Albe Dr, Apt B, Newark, DE, 19702-1346 · 79 Albe Dr, Apt A, Newark, DE, 19702-1346 · 7 Rose Tree Dr, Glen Mills, PA, 19342-1788 · 2417 Welsh Rd, Apt 21, Philadelphia, PA, 19114-2209 · 1366 Laveta Ter, Los Angeles, CA, 90026-3322 · 227. Over the past 2 decades, biomechanical and clinical studies have furthered our understanding of its morphology and function, altering previous. It can be assessed in the sagittal plane (acromion type, acromion slope) and in the coronal plane (lateral acromion angle, acromion index, critical shoulder angle). , a hooked acromion (Bigliani type III; Figure 3) (6, 7, e7). Together with the coracoid process it extends laterally over the shoulder joint. Acromion process fractures represent 8–16% of scapular fractures [3, 44, 58]. McGarvey and Hooper (2005) stated that the subdeltoid bursa extends 5 cm below the acromion process, so the. Trapezius muscle. The murder of an aviation pioneer and two others in Villanova, Pennsylvania, left the affluent community of Main Line in a state of shock. Pathology. For Sale: 2050000 - Residential, 5 bed, 6 bath, 6,028 sqft at 1321 ARROWMINK ROAD in Villanova. 5 baths, 3171 sq. However, because your rotator cuff is surrounded by bone, swelling causes other events to occur. Its function is related to the glenohumeral joint, where the muscles of the cuff function both as the executors of the movements of the joint and the stabilization of the joint as well. When your rotator cuff is irritated or injured, it swells in much the same way your ankle does when it is sprained. contains a fibrocartilaginous intraarticular disc between the osseous elements. Diagnosis depends on history,. A clavicle fracture is diagnosed through a physical examination and X-rays. This consists of two bones, the scapula and clavicle (Figure 7. acro· mi· on ə-ˈkrō-mē-ˌän, -ən. The AC joint is a diarthrodial joint defined by the lateral process of the clavicle articulating with the acromion process as it projects anteriorly off the scapula. It contributes your shoulder’s mobility, such as raising your arm overhead. EMaps. Nearby recently sold homes. 25898. Return to sport (4–6 weeks) Rehabilitation is divided into 4 Phases which are similar for Types I, II, and III, but progression is slower in Type III injuries. Through the arthroscope Dr Reznik can remove any damaged tissue, increase the sub-acromial space and clear the inflamed. (2) Coracoclaviclular ligament：連結coracoid process和clavicle. AC joint. Fig. The trapezius muscle in-serts on the superior aspect of the scapular spine and acromion. While most os acromiale do not cause any symptoms, a few can severely limit a patient’s shoulder function because of pain. Type 2 with the curved shape is the most common type. The acromioclavicular capsule and ligaments stabilize the joint in the horizontal direction, while the. To locate the landmark for the deltoid muscle, expose the upper arm and find the acromion process by palpating the bony prominence. It gets its name because of its similar shape to the Greek letter ‘delta’ (Δ). olecranon process: ( ō-lek'ră-non, ō'lē-krā'non ), [TA] The prominent curved proximal extremity of the ulna, the upper and posterior surface of which gives attachment to the tendon of the triceps muscle, the anterior surface entering into the formation of the trochlear notch. 0 mm, and the cuff tear group had thicker acromion. 9 A cadaveric study has shown that the intrinsic superior ligament accounts for 56% of resistance against posteriorly directed force, with the. Take a look. 2. If the force is severe enough, the ligaments attaching to the underside of the clavicle are torn. This joint helps maintain the position of the shoulder and is very important for shoulder control, motion, and strength. Website: There are 7 Companies located at 152 Garrett Rd, Upper Darby, PA 19082. 13±6. These fractures typically heal without surgical intervention . Ryu Ryan M. A sharpened inferolateral edge of acromion (termed as Sharpened Lateral Acromion Morphology or SLAM sign) is frequently observed in anteroposterior radiographs of the glenohumeral joint in patients with rotator. 5. 2. The clavicle (collarbone) is an S-shaped bone located on the anterior side of the shoulder. acromion process (bony prominence above deltoid) level of armpit elbow • Administration by the Intramuscular (IM) Route Needle insertion Use a needle long enough to reach deep into the muscle. 9z should be consulted to verify information for official purposes. Contact: Title: Phone: (610) 449-8000. The outer end of the clavicle is held in alignment with the acromion by the acromioclavicular ligaments and the coracoclavicular (CC) ligaments. Over time, arthritis leads to cartilage loss. This can prolong the recovery and deltoid dehiscence is a complication of this approach. It is often difficult to diagnose b ecause the clinical pre-sentation may be confusing and clinical tests lack specificity [2]. [1] Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of. An os acromiale merely represents the persistence of this center without bony fusion. X-ray is the first-line imaging choice but only has a sensitivity of ~80% 1. pain that goes. The AC joint connects the acromion process to the collarbone. Often there is a bone spur in this region that can pinch against the rotator cuff or bursa (fluid filled sac) causing the pinching or impingement. Sold - 1321 Arrowmink Rd, Villanova, PA - $2,000,000. Six databases were searched electronically. 40°4'14" N 75°18'25" W ~16m asl 06:20 (EST - UTC/GMT-5) Arrowmink Creek (Arrowmink Creek) is a stream in Montgomery, Pennsylvania, United States (North America) with the region font code of Americas/Western Europe. 5 beds, 8 baths, 7664 sq. This home is currently off market - it last sold on January 01, 1984 for $250,000. EMaps. BME usually gets better over time. A small ceramic bowl used for baking and serving. This joint is called the acromioclavicular joint or AC joint. The Zestimate for this Single Family is $3,214,600, which has decreased by $68,700 in the last 30 days. This mechanism of injury was first described by Cadenat. [ edit on Wikidata] The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. Subacromial Space. 5 bathrooms. Existe también una esquina en la que convergen. Diagnosis is made with axillary lateral radiographs of the shoulder. joseph c. A bursa is a fluid-filled sac that reduces the friction on tendons and muscles as they cross bony surfaces. Acromion width: distance from the most lateral margin to the glenoid plane. They include: subacromial-subdeltoid (SASD) bursa. called also acromial process, acromion process. The mainstay of non-operative management for glenohumeral OA is pharmacotherapy with acetaminophen and non-steroidal anti-inflammatory drugs to minimize the pain. acromion翻译：肩峰（双肩外侧最高处）。了解更多。Deltoid arises from lower border of the crest of the spine and from lateral border acromion. The injection site will be approximately 2 inches below the bone and above the axillary fold/armpit. Ft. Villanova. called also acromial process, acromion process. Acromion is a major associated structure of subacromial impingement syndrome, one of the most common diagnoses in chronic shoulder pain world-wide. It occurs along with the coracoids process over the shoulder joint. Because. Type II is the most common type and is gradual curve along the head of the shoulder. Anatomy Explorer. View 1 photos for 1326 Arrowmink Rd, Villanova, PA 19085, a 7 bed, 7 bath, 7,676 Sq. 7 acre lot (proposed) available in desirable Villanova, able to accommodate one new construction home. Other Rare Causes Of Acromion Pain: Other less common causes of acromion pain include trauma, infection, tumour, fracture, joint dislocation, referred pain, and more. The coracoacromial arch is formed (anteriorly to posteriorly) by the coracoid process, coracoacromial ligament, and acromion. What You Need to Know. (Before administering an injection of vaccine, it is not necessary to aspi-Your acromioclavicular (AC) joint is the part of your shoulder where your collarbone and shoulder blade meet. Operationsziel. erect or sitting, facing the upright detector. Fourth, only anteriorly projected spurs were observed on ultrasonography; medial and inferior spurs are difficult to observe using ultrasonography. The space between the acromion and the rotator cuff tendons is filled by the subacromial bursa . The causes of this impingement include: The AC joint is where the acromion (a part of the shoulder blade) connects to the clavicle (collar bone) at the top of the shoulder. View property details, photos, and. It is held together by strong ligaments . 1 An early mention of this type of os in the literature comes from British anatomist John Gregory Smith in 1834. The outlet or Neers projection of the shoulder is a specialized projection demonstrating the coracoacromial arch often utilized in the investigation of shoulder impingement 1. Courtlandt had been shot thrice and. 1321 Arrowmink Road, Villanova, PA 19085 is a single family home that will be listed for sale at $2,050,000. It is a plane synovial joint, with flat articular surfaces which are approximately the same in size. (610) 947-0408.