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In human anatomy, the acromion (from Greek: akros, "highest", ōmos, "shoulder", pl.: acromia) is a bony process on the scapula (shoulder blade). Together with the coracoid process, it extends laterally over the shoulder joint. The acromion is a continuation of the scapular spine, and hooks over anteriorly.
The range of motion at the shoulder may be limited by pain. A painful arc of movement may be present during forward elevation of the arm from 60° to 120°. [4] Passive movement at the shoulder will appear painful when a downward force is applied at the acromion but the pain will ease once the force is removed. [2]
The acromioclavicular (AC) joint is located between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. The glenohumeral joint , to which the term " shoulder joint " commonly refers, is a ball-and-socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body.
A number of small fluid-filled sacs known as synovial bursae are located around the capsule to aid mobility: Between the joint capsule and the deltoid muscle is the subacromial-subdeltoid bursa. Between the capsule and the acromion is the subacromial bursa. The subcoracoid bursa is between the capsule and the coracoid process of the scapula.
The AC joint is located at the outer end of the clavicle where it attaches to the acromion of the scapula. [2] Symptoms include non-radiating pain which may make it difficult to move the shoulder. The presence of swelling or bruising and a deformity in the shoulder is also common depending on how severe the dislocation is. [2] [1]
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Shoulder problems, including pain, are common [20] and can relate to any of the structures within the shoulder. [21] The primary cause of shoulder pain is a rotator cuff tear . [ 20 ] The supraspinatus is most commonly involved in a rotator cuff tear, [ 22 ] but other parts of the rotator cuff may also be involved.
If pain is relieved, the test is considered positive for rotator-cuff impingement, of which tendinitis and bursitis are major causes. However, partial rotator-cuff tears may also demonstrate good pain relief, so a positive response cannot rule out a partial rotator-cuff tear.