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Definição e significado de acromion

Definição

acromion (n.)

1.the outermost point of the spine of the shoulder blade

Acromion (n.)

1.(MeSH)The lateral extension of the spine of the SCAPULA and the highest point of the SHOULDER.

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Merriam Webster

AcromionA*cro"mi*on (�), n. [Gr. �; 'a`kros extreme + � shoulder: cf. F. acromion.] (Anat.) The outer extremity of the shoulder blade.

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Definiciones (más)

definição - Wikipedia

Sinónimos

acromion (n.)

acromial process

Locuções

Dicionario analógico

Wikipedia

Acromion

                   
Bone: Acromion
Gray205 left scapula lateral view.png
Left scapula. Lateral view. (Acromion labeled at upper right.)
Latin Acromion
Gray's subject #50 203

In human anatomy, the acromion (from Greek: akros, "highest", ōmos, "shoulder", plural: acromia) is a bony process on the scapula (shoulder blade), together with the coracoid process extending laterally over the shoulder joint. The acromion is a continuation of the scapular spine, and hooks over anteriorly. It articulates with the clavicle (collar bone) to form the acromioclavicular joint.

Contents

  Human anatomy

The acromion forms the summit of the shoulder, and is a large, somewhat triangular or oblong process, flattened from behind forward, projecting at first lateralward, and then curving forward and upward, so as to overhang the glenoid cavity.[1]

  Surfaces

Its superior surface, directed upward, backward, and lateralward, is convex, rough, and gives attachment to some fibers of the deltoideus, and in the rest of its extent is subcutaneous. Its inferior surface is smooth and concave.[1]

  Borders

Its lateral border is thick and irregular, and presents three or four tubercles for the tendinous origins of the deltoid. Its medial border, shorter than the lateral, is concave, gives attachment to a portion of the trapezius, and presents about its center a small oval surface for articulation with the acromial end of the clavicle.[1]

  Variation

There are three morphologically distinct types of acromia and a correlation between these morphologies and rotator cuff tear:[2]

Type Prevalence Angle of
anterior slope
Rotator
cuff tear
Flat 17.1% 13.18 3.0%
Curved 42.9% 29.98 24.2%
Hooked 39.3% 26.98 69.8%

  Os acromiale

  Plan of ossification of the scapula. Posterior side. Acromion visible at upper left, in blue.

The acromion has four ossification centers called (from tip to base) pre-acromion, meso-acromion, meta-acromion, and basi-acromion. In most cases, the first three fuse at 15–18 years, whereas the base part fuses to the scapular spine at 12 years. In 1.4% of cases, however, this osseous union fails and the acromion remains a separate bone called the os acromiale, a condition that rarely causes pain.[3]

Four types of os acromiale can be distinguished:[4]

  • A non-union between the meso- and meta-acromia, the most common or typical os acromiale
  • A non-union between the pre- and meso-acromia
  • A non-union between the pre- and meso-acromia; and between the meso- and meta-acromia, atypical
  • A non-union between the pre- and meso-acromia; between the pre- and meso-acromia; and between the meta- and basi-acromia

This feature was common in skeletons recovered from the Mary Rose shipwreck: it is thought that in those men, much archery practice from childhood on with the mediaeval war bow (which needs a pull 3 times as strong as the modern standard Olympic bow) pulled at the acromion so much that it prevented bony fusion of the acromion with the scapula.

  In other animals

The acromion process of bats (Mammalia: Chiroptera) is particularly elongated compared to that of humans.

  The shoulder girdle of a snapping turtle. (1) Acromion, (2) scapula, and (3) coracoid

Turtles have an acromion that forms the anterior part of the triradiate pectoral girdle (together with the coracoid and scapula). In this highly specialized endoskeletal structure, the scapula is a dorsal (directed upwards) process attached to the first rib; the coracoid is a posteroventral (directed backward and down) process; and the acromion is a medioventral (directed inwards and down) process (also known as the prescapular process) located at the base of the scapula. This had led to some controversy regarding the evolutionary origin of turtles, because in both pareiasaurs and non-mammalian therapsids the acromion is located at the dorsal tip of the scapula. [5]

In modern turtles, the acromion projects ventrally and articulates with the plastron (the flat lower part of the shell), but it evolved in a common ancestor of pareiasaurs and turtles long before the plastron. In these primitive ancestors, the acromion projected forward to form a strong and flexible articulation between the shoulder girdle and the clavicle. Notwithstanding these changes, the acromion of turtles retains its original function, to support the shoulder girdle and increase stride length. [6]

  Additional images

Diagram of the human shoulder joint  
The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula.  
Muscles connecting the upper extremity to the vertebral column.  
Human arm bones diagram  

  Notes

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

  References

  • Habermeyer, Peter; Magosch, Petra; Lichtenberg, Sven (2006). Classifications and Scores of the Shoulder. Heidelberg: Springer. ISBN 978-3-540-24350-2. 
  • Lee, Michael S. Y. (January 22 1996). "The Homologies and Early Evolution of the Shoulder Girdle in Turtles". Proc. R. Soc. Lond. B 263 (1366): 111–117. DOI:10.1098/rspb.1996.0018. 
  • Rieppel, Olivier; Reisz, Robert R. (1999). "The Origin and Early Evolution of Turtles". Annual Review of Ecology and Systematics 30: 1–22. http://www.mz.usp.br/forum/pdf/Rieppel&Reisz1999.pdf. 
  • Warner, Jon J.P.; Beim, Gloria M.; Higgins, Laurence (September 1998). "The Treatment of Symptomatic Os Acromiale". The Journal of Bone and Joint Surgery 80: 1320–6. 
   
               

 

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