Nourissat Geoffroy, Calò Michel, Montalvan Bernard, Parier Jacques
Clinique Maussins-Nollet, Ramsay Générale de Santé, Paris, France.
Università degli Studi di Torino, Turin, Italy.
Orthop J Sports Med. 2018 May 29;6(5):2325967118773723. doi: 10.1177/2325967118773723. eCollection 2018 May.
Os acromiale is a rare condition mostly reported in the literature through case reports, imaging studies, or reports of surgical treatment. This condition is the result of nonunion of growth plates of the acromion during the natural developmental process that occurs between 15 and 25 years of age. Its incidence is low, and few studies are available in the literature on athletes with high functional demands, and particularly on athletes within a specific sport.
To collect epidemiological data and to report the amount of time out of play as well as the type of treatment and its efficiency in professional tennis players.
Case series; Level of evidence, 4.
We performed a retrospective study using the medical data of athletes within our national tennis league who complained about their shoulder between 2011 and 2016. Nine professional tennis players (mean age, 20 years) with painful shoulders were diagnosed with os acromiale; 3 of them played at an international level, with the other 6 playing at a national level. The diagnosis was confirmed using radiography, including the axillary view, and magnetic resonance imaging (MRI). One female player had associated subacromial bursitis.
All cases of os acromiale were classified as involving the mesoacromion, following the Lieberson classification. No patient underwent surgery, and no patient was treated with local or subacromial infiltration. Patients stopped competition and training throughout the rehabilitation period. All patients received medical treatment with nonsteroidal anti-inflammatory drugs (NSAIDs), ice, and physical therapy with a specific rehabilitation program. All athletes returned to their former level of play after a mean of 37 days. No patient suffered from recurrent pain. One patient underwent MRI after 2 years, showing a normal bone signal and complete healing of the acromion.
Conservative treatment including NSAIDs, rest, ice, and physical therapy allowed for good recovery and return to the former level of play. Surgical treatment is usually not indicated for os acromiale in the professional tennis player.
肩峰骨是一种罕见病症，大多通过病例报告、影像学研究或手术治疗报告在文献中有所记载。这种病症是肩峰生长板在15至25岁自然发育过程中未愈合的结果。其发病率较低，关于对功能要求较高的运动员，尤其是特定运动项目的运动员的相关研究在文献中较少。
收集流行病学数据，并报告职业网球运动员的停赛时间、治疗类型及其疗效。
病例系列；证据等级，4级。
我们进行了一项回顾性研究，使用了2011年至2016年间我国网球联赛中抱怨肩部问题的运动员的医疗数据。9名肩部疼痛的职业网球运动员（平均年龄20岁）被诊断为肩峰骨；其中3人参加国际比赛，另外6人参加国内比赛。通过包括腋位片在内的X线摄影和磁共振成像（MRI）确诊。1名女运动员伴有肩峰下滑囊炎。
根据利伯森分类法，所有肩峰骨病例均被归类为累及中肩峰。没有患者接受手术，也没有患者接受局部或肩峰下浸润治疗。患者在整个康复期间停止比赛和训练。所有患者均接受了非甾体抗炎药（NSAIDs）、冰敷治疗以及特定康复计划的物理治疗。所有运动员平均37天后恢复到之前的比赛水平。没有患者出现复发性疼痛。1名患者在2年后进行了MRI检查，显示骨信号正常，肩峰完全愈合。
包括NSAIDs、休息、冰敷和物理治疗在内的保守治疗可实现良好恢复并回归到之前的比赛水平。职业网球运动员的肩峰骨通常不建议进行手术治疗。
