{"id":3828,"date":"2026-03-16T13:02:14","date_gmt":"2026-03-16T10:02:14","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/acromion\/"},"modified":"2026-04-01T18:36:09","modified_gmt":"2026-04-01T15:36:09","slug":"acromion","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/fr\/glossary\/acromion\/","title":{"rendered":"Acromion"},"content":{"rendered":"\n<p>L&rsquo;acromion (du grec <em>akron<\/em> \u2014 extr\u00e9mit\u00e9, sommet et <em>omos<\/em> \u2014 \u00e9paule) est une grande saillie osseuse aplatie de l&rsquo;omoplate de forme triangulaire, \u00e9tant une extension lat\u00e9rale de son \u00e9pine.<\/p>\n\n<p>Il surplombe la t\u00eate de l&rsquo;hum\u00e9rus, formant une sorte de \u00ab toit \u00bb de l&rsquo;articulation gl\u00e9no-hum\u00e9rale, et sert de point d&rsquo;articulation de l&rsquo;omoplate avec la clavicule.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\"><strong>\u00c9tiologie et physiopathologie<\/strong><\/h2>\n\n<p>L&rsquo;acromion joue un r\u00f4le fondamental dans la biom\u00e9canique de la ceinture scapulaire. De puissants faisceaux des muscles delto\u00efde et trap\u00e8ze s&rsquo;attachent \u00e0 sa surface sup\u00e9rieure rugueuse et \u00e0 ses bords. Sur le bord ant\u00e9ro-interne du processus se trouve une petite facette articulaire, formant avec la clavicule une articulation acromio-claviculaire peu mobile.<\/p>\n\n<p>La caract\u00e9ristique anatomique la plus importante est la forme de la surface inf\u00e9rieure de l&rsquo;acromion, orient\u00e9e vers la coiffe des rotateurs de l&rsquo;\u00e9paule. Selon la classification morphologique de Bigliani, trois types de structures sont distingu\u00e9s : plat, courb\u00e9 et en crochet.<\/p>\n\n<p>La forme en crochet du processus, ainsi que la formation d&rsquo;ost\u00e9ophytes (excroissances osseuses) li\u00e9es \u00e0 l&rsquo;\u00e2ge, r\u00e9duisent de mani\u00e8re critique l&rsquo;espace sous-acromial. Cela conduit \u00e0 un conflit m\u00e9canique : lors de l&rsquo;\u00e9l\u00e9vation du bras, le tendon du muscle supra-\u00e9pineux est pinc\u00e9 entre la t\u00eate de l&rsquo;\u00e9paule et le bord de l&rsquo;acromion.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\"><strong>Importance clinique<\/strong><\/h2>\n\n<p>L&rsquo;anatomie pathologique de l&rsquo;acromion est la principale cause du d\u00e9veloppement du syndrome d&rsquo;impingement de l&rsquo;\u00e9paule. La traumatisation chronique de la coiffe des rotateurs par cette saillie osseuse conduit \u00e0 des bursites persistantes et \u00e0 des d\u00e9chirures d\u00e9g\u00e9n\u00e9ratives des tendons, n\u00e9cessitant la r\u00e9section chirurgicale d&rsquo;une partie du processus.<\/p>\n\n<p>Les fractures isol\u00e9es de l&rsquo;acromion sont rares et surviennent g\u00e9n\u00e9ralement lors d&rsquo;un coup direct et s\u00e9v\u00e8re sur le dessus de l&rsquo;\u00e9paule. Dans le diagnostic diff\u00e9rentiel, il est important de se rappeler l&rsquo;existence d&rsquo;une anomalie cong\u00e9nitale \u2014 la non-union des points d&rsquo;ossification de l&rsquo;acromion, lorsque sa partie extr\u00eame reste mobile et peut \u00eatre \u00e0 tort interpr\u00e9t\u00e9e comme une fracture r\u00e9cente sur une radiographie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Acromion (du grec <em>akron<\/em> \u2014 extr\u00e9mit\u00e9, sommet et omos \u2014 \u00e9paule) est une grande saillie osseuse aplatie de l&rsquo;omoplate de forme triangulaire, constituant la prolongation lat\u00e9rale de son \u00e9pine. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3828","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Acromion : d\u00e9finition 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