PhysicalTherapy.com Phone: 866-782-6258


Is an X-Ray Needed to Diagnose Os Acromiale?

Steven Tippett, PT, PhD, SCS

December 28, 2012

Share:

Question

Without x-rays, is there a way to know a patient has a problem with Os Acromiale?

Answer

Not really.  I think that the best bet is to get film, and Os Acromiale will show on an axillary view.  It will also typically show on the AP if you get enough penetration distally.  If you keep getting impingement signs; they have good, strong muscles; their scapulohumeral rhythm is normal; they have good manual muscle test for their external rotators and internal rotators; and you test that supraspinatus prone at 100 degrees of abduction, and they are just as strong but they continue to have these “impingement” signs, then I would look a little bit closer that maybe something might be lurking underneath like a bony abnormality.  With just a quick look with an x-ray, you will get a good picture of that.  


steven tippett

Steven Tippett, PT, PhD, SCS

Steve Tippett is presently the Chair of the Department of Physical Therapy and Health Science at Bradley University. His primary teaching responsibilities include undergraduate courses in kinesiology and in sport applications in the health sciences, as well as graduate instruction in extremity orthopedics. Steve treats Bradley students in conjunction with Bradley Health Services, is the physical therapist consultant to Bradley’s athletic department, and also sees out patients one-half day per week at OSF Saint Francis Medical Center.

 


Related Courses

Clinical Use of the Reformer for the Lower Body
Presented by Rhondi Miller, PT, MS, SCS, ATC
Recorded Webinar

Presenter

Rhondi Miller, PT, MS, SCS, ATC
Course: #3329Level: Intermediate2 Hours
  'clarity of examples and demonstrations of both correct and incorrect presentations'   Read Reviews
The reformer is an effective tool for rehabilitating the lower body. This course will provide exercises appropriate for progressing lower extremity rehab from ankle injury, to post-op knees, to hip pain. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This course is part three of our four part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT/PTA and AT.

Complex and Chronic Impairment in Concussion
Presented by Laura Morris, PT, NCS
Recorded Webinar

Presenter

Laura Morris, PT, NCS
Course: #4353Level: Intermediate2 Hours
  'Great info!'   Read Reviews
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.

Clinical Use of the Reformer for the Upper Body
Presented by Rhondi Miller, PT, MS, SCS, ATC
Recorded Webinar

Presenter

Rhondi Miller, PT, MS, SCS, ATC
Course: #3330Level: Intermediate2 Hours
  'Very impressive presentation--your attention to detail, alignment, function, etc'   Read Reviews
A reformer is an effective tool for rehabilitating the upper body. This course will provide exercises appropriate for progressing upper extremity rehab from scapular control to glenohumeral stability, to fully-integrated shoulder girdle training. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This is part four of our four-part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Cultivating a Sustainable Core, Part II: Therapeutic Interventions from Yoga, Physical Therapy, and Sports Medicine in Rehabilitation
Presented by Liz Gillem Duncanson, PT, MPT, ATC, CSCS, PYT, RYT-200, C-IAYT
Recorded Webinar

Presenter

Liz Gillem Duncanson, PT, MPT, ATC, CSCS, PYT, RYT-200, C-IAYT
Course: #3332Level: Intermediate2 Hours
  'Integrative, well-weaved multidisciplinary approach through a fantastic presentation'   Read Reviews
This course is a continuation of the course titled, "Yoga Therapeutics to Cultivate A Sustainable Core" We build on the evidence-based and anatomical foundation of the dynamic core and apply the clinical reasoning of progressing patients and athletes through therapeutic exercises. This course is directly related to the practice of physical therapy and athletic training and is appropriate for the PT,PTA and AT.

Novel Programming and Early Return to Sport Exposure Following ACL-R
Presented by Adam Schiltz, PT, DPT, OCS, CSCS
Recorded Webinar

Presenter

Adam Schiltz, PT, DPT, OCS, CSCS
Course: #3333Level: Intermediate2 Hours
  'Terrific information and research'   Read Reviews
Epidemiological studies show an increase in ACL injuries in young adults along with an increase in revisions. This course is designed to challenge the clinician’s reliance on protocol driven rehabilitation and focus on patient centered progressions to build rapport, improve compliance, and potentially reduce re-injury risk. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.