Acromion is a major associated structure of subacromial impingement syndrome, one of the most common diagnoses in chronic shoulder pain world-wide. Origins and pathoanatomy. The prevalence of os acromiale is 1% to 15%, and is quite common in the African American population. Historical Weather. The most common conditions of the acromioclavicular joint are arthritis, fractures and separations. ice . It forms the acromioclavicular joint with your clavicle (collarbone) and is located above the glenohumeral joint. This tendinopathy is in most cases caused by an impingement of the supraspinatus tendon on the acromion as it passes between the acromion and the humeral head. Nearby homes similar to 1415 Spring Mill Rd have recently sold between $625K to $3M at an average of $305 per square foot. pain in the front of your shoulder. considered most common type 3. Während sich die operativen. If the force is severe enough, the ligaments attaching to the underside of the clavicle are torn. It contains 6 bedrooms and 6 bathrooms. $2,350,000 Last Sold Price. Inject the vaccine into the middle and thickest part of the muscle. View 1 photos for 1326 Arrowmink Rd, Villanova, PA 19085, a 7 bed, 7 bath, 7,676 Sq. It is a broad, flat and triangular shape – forming a trapezoid shape in combination with the contralateral side. For this reason, it is always important to seek medical attention if the symptoms are severe,. Indications. spine and acromion. According to Bigliani et al. The acromion process is an anatomical structure that is essential in stabilizing the shoulder complex and forms attachments to many important muscles of the shoulder joint. These fractures have a prevalence of 5–6. Your acromioclavicular (AC) joint is the part of your shoulder where your collarbone and shoulder blade meet. 92 mm. Surgical management of the symptomatic os acromiale. To avoid excessive stress on any screw, insert first the screw closest to the fracture and tighten until appropriate resistance is felt. Attachments: Originates from the skull, nuchal ligament and the spinous processes of C7-T12. However, an "Amurkin" should not be confused with an "American. Motor vehicle accidents are the most common cause . House. Wall Slides. Study with Quizlet and memorize flashcards containing terms like The majority of the fibers of the gluteus maximus insert onto the __________. Supraspinatus tendinopathy is a common source of shoulder pain in athletes that participate in overhead sports (handball, volleyball, tennis, baseball). A physical therapist will work with you to stretch the muscles in the shoulder joint that tend to get tight and pinched from poor posture, strengthen muscles that support the rotator cuff, and help to mobilize the joint with manual pressure. The synovial joint is surrounded by a capsule of articular cartilage filled with intra-articular synovium. The Rent Zestimate for this Single Family is $16,557/mo, which has increased by $134/mo in the last. El acromion es una estructura ósea perteneciente al omóplato, ubicándose en la extremidad externa lateral de este. 3) The Rotator Cuff. Insert needle at a 90° angle to the skin with a quick thrust. The first is the acromioclavicular joint, which is formed by the acromial end of the clavicle and the acromion of the scapula respectively. It serves as part of the shoulder joint and as an anchor for many of the arm, upper back, and shoulder muscles. Understanding the difference between these two bones is important for anyone interested in anatomy or orthopedics. 5 Beds. —62-year-old man with chronic rotator cuff tear. The AC joint is where the acromion (the tip of your shoulder blade— scapula) meets your clavicle (collarbone). View 1 photos for 1230 Arrowmink Rd, Villanova, PA 19085, a 4 bed, 6 bath, 10,519 Sq. Take a look. Updated on August 14, 2023. 2 Overall, os acromiale are widespread in the population, occurring in 8% of. Therefore, the current literature lacks standardized clinical guidelines regarding the surgical treatment of these kinds of. The acromion, AKA the acromion process, is a part of the shoulder blade, which meets with your clavicle, or “collar-bone. Background. Acromioplasty is a surgical procedure that involves shaving away part of the shoulder bone called the acromion. The type III acromion is the one which is usually. Ft. Based on Redfin's Gladwyne data, we estimate the home's value is $1,858,232. Medically reviewed by David Hampton, MD. 05. The classification system, broken into five categories communicates both the stability and treatment recommendation of the fracture. The word acromion derives from the Greek root. The owner is in the. This mechanism of injury was first described by Cadenat. the stronger the magnet, the higher the intrinsic signal-to-noise ratio (e. T1 sagittal oblique image of the shoulder. 5 cm in width and is roughly 5 cm long. 34±4. winder, v. 726 Cedar Ln, Villanova, PA 19085. The third type is referred to as a "beaked" acromion – it basically makes pressing an issue regardless of. The humerus articulates with the scapula proximally at the glenohumeral joint so it participates in the movements of the shoulder . It is held together by strong ligaments . g. subscapular recess. : acromia) is a bony process on the scapula (shoulder blade). Molecular Formula. This property is not currently available for sale. 1240 Arrowmink Rd, Villanova, PA 19085 is a 5 bed, 4 / 1 bath, 5,804 sqft single-family home in Villanova Pennsylvania and last sold for $1,965,000 on 2022-09-30. Together with the coracoid process it extends laterally over the shoulder joint. It articulates with the clavicle and is the origin of the deltoid and trapezius muscles. 67 mm, while the left had an average of 28. It articulates with the clavicle (collar bone) to form the acromioclavicular joint. Med skuldersmerter menes smerter udgående fra strukturer i og omkring selve skulderleddet (glenohumeralleddet) eller acromioclavicularleddet (AC-leddet) Rotatorcuffen. Purpose and hypothesis: Acromion spur is the extrinsic factor for impingement syndrome and rotator cuff tear. On such images, the acromion is completely visualized in the axial plane, and the diagnosis of an os acromiale becomes much simpler. 152 Garrett Rd. Rehabilitation. View 1 photos for 1315 Arrowmink Rd, Villanova, PA 19085, a 5 bed, 3 bath, 3,208 Sq. Disclaimer: Historical sales information is derived from public records provided by the county offices. Treatment: If the problem has failed to improve with non-surgical methods and when the problem relates to an overhanging acromion, calcified acromial-clavicular ligaments, or a thickened bursa, arthroscopic surgery can help. 1240 Arrowmink Road, Villanova, PA 19085 is a single family home listed for sale at $2,250,000. Classification. The acromioclavicular joint space measures 1-6 mm (females) and 1-7 mm (males), decreasing with age 12 . Disruption should therefore be sought at the. Arrowmink Creek, Montgomery County, Pennsylvania. Catherine was found tied up to a chair in the bedroom and was shot once in the back of the head. The deltoid muscle (acromion) arises from the acromion process of the dog’s scapula that extends distally. erect or sitting, facing the upright detector. 1309 arrowmink rd , villanova, PA. When it becomes. The average size of the joint surfaces in the adult AC joint has been found to be 9 mm (vertical) by 19 mm (anteroposterior) (3, 11). Documentation of converting the acromion from a type 3 to a type 1 can also be beneficial to support this code. . It contains 5 bedrooms and 3 bathrooms. This anatomic deformity occurs more frequently in persons of Black. Thus, surgeons traditionally perform acromioplasty at the time of rotator cuff repair [ 2 ]. The coracoacromial ligament (CAL) connects the acromion and coracoid process of the scapula, forming an osseoligamentous static restraint to superior humeral head displacement. Acute idiopathic polyneuritis. Attachments, innervation and functions of the superficial muscles of the back. The glenoid labrum enhances stability of the glenohumeral joint. noun. The AC joint connects the acromion process to the collarbone. 3. Injuries of the rotator cuff interfere with. The bottom of it will form the base of the triangle. 2016 PA Integrated Report. Acromion fractures may occur as a result of shoulder trauma and. subcoracoid bursa. MRI has proven to be a single solution both for characterising acromial morphology and for evaluating rotator cuff tears. c. The Zestimate for this Single Family is $3,214,600, which has decreased by $68,700 in the last 30 days. Static imaging modalities such as MRI and radiographs occasionally depict reduced. Operationsziel. The shape of the acromion has been initially divided into 3 types (which was known as the Bigliani classification), to which a fourth has been added:. However, imaging has an important role in supporting the diagnosis, finding the possible cause as well as sequelae of impingement. Look for a. Development of better diagnostic and therapeutic tools have helped to improve the treatment of coracoid and acromion fractures. The acromion is a continuation of the scapular spine, and hooks over anteriorly. Acromioclavicular Dislocation Acromioclavicular dislocation is a common injury, occurring in greater than 10% of shoul-der. Investigation Discovery’s ‘Homicide City: Main Line Massacre’ features how the police used old-fashioned detective work to solve the triple homicide. 5 cm to 5 cm) below the acromion process. Ft. 07)This is a bolted line up the west face of Mt. The course of shoulder pain can vary from person to person. This site is located midway between the acromion and deltoid tuberosity, in the middle of the muscle . 1911 Lafayette Rd, Gladwyne, PA 19035. Nearby recently sold homes. It arches over the glenohumeral joint and articulates with the lateral acromial end of the clavicle to make up the synovial. But in some people it can. A tendon is thick collagen tissue that connects. Based on Redfin's Gladwyne data, we estimate the home's value is $1,858,232. The acromion differs in individuals normally (morphological variants). oblique orientation of joint surface. The ultrasound probe is placed just caudal to the acromion over the infraspinatus tendon (Figure 3). When acromion process interacts with clavicle, they provide a stable attachment for muscles of your chest and arm. Let's face it, there's a lot we can learn and share from one another like what bait or lure is generating the best results. 1326 Arrowmink Rd, Villanova PA, is a Single Family home that contains 7676 sq ft and was built in 1928. The average property tax on Arrowmink Road is $30,446/yr and the average house or building was built in 1962. Diagnosis is a clinical one however MRI imaging can be useful to. Existe también una esquina en la que convergen. It may cause shoulder impingement, rotator cuff tear or degenerative acromioclavicular joint disease 5 . [ edit on Wikidata] The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. 1 The diagnosis of an os acromiale is not commonly made in patients younger than 25 years, because. Indications. Other Rare Causes Of Acromion Pain: Other less common causes of acromion pain include trauma, infection, tumour, fracture, joint dislocation, referred pain, and more. The thickness of the right acromion measured 7. Communicate with your doctor Get answers to your medical questions from the comfort of your own home Access your test results No more waiting for a phone call or letter – view your results and your doctor's comments within days Acromion is the sideway extension of the backbone on the shoulder plate. " Persons self-identifying as "Amurkins" by their dialect tend to hail from the South or Midwest, be poorly educated, ignorant, white,. When the AC joint functions properly,. weakness in your arm and shoulder. 356. OPEN SUN, 1PM TO 3PM. called also acromial process, acromion process. 1326 Arrowmink Rd, Villanova, PA 19085 is a 7 bedroom, 6 bathroom, 7,676 sqft single-family home built in 1928. The vessel (IMO number. supraspinatus tendon. Acromioclavicular osteoarthritis (AO) is a common type of arthritis that affects the shoulder. Return to sport (4–6 weeks) Rehabilitation is divided into 4 Phases which are similar for Types I, II, and III, but progression is slower in Type III injuries. joint capsule: ruptured. Acromion pain can also present in a similar way to other causes of pain. Although the morphology of the acromion has been shown to be an. Other causes of shoulder pain include things like frozen. Documentation of converting the acromion from a type 3 to a type 1 can also be beneficial to support this code. $1,800,000 Last Sold Price. Diagnosis is made with axillary. View property details, photos, and. CC ligament: ruptured. Pathology. Clavicle fractures are classified into three types based on. curved (56%) parallel to the humeral head with a concave undersurface. The acromion is a bony projection that extends laterally from the scapula (shoulder blade). Grade IV-VI injuries need an orthopedic consultation in the emergency department. Radiographic features Plain radiograph. 1321 Arrowmink Rd, Villanova, PA 19085 - 6,028 sqft home built in 2007 . The injection site will be approximately 2 inches below the bone and above the axillary fold/armpit. Over time, arthritis leads to cartilage loss. Acute mountain sickness (AMS) Acute myocardial infarction. 5 acre lot with 5 bedrooms and 5 bathrooms. (Before administering an injection of vaccine, it is not necessary to aspi-There are three types of disc 8-11: A weak, synovium-lined joint capsule is attached to the articular margins and is reinforced superiorly by blending fibers of the trapezius muscle 6. single family home built in 1932 that was last sold on 06/16/1995. Source: Public Records. Type II is the most common type and is gradual curve along the head of the shoulder. 9% as the complication of reverse shoulder arthroplasty . deltoid muscle: detached. Function. 1309 Arrowmink Rd, Villanova PA, is a Single Family home that contains 3171 sq ft and was built in 1953. Scapula function depends on. 7,413 Sq. The acromion-humeral distance is measured between the inferior surface of the acromion and the head of the humerus on an anteroposterior radiograph and is about 1–1. Acute illness. In studies that recorded data on how long patients experienced symptoms prior to surgery, the average time before surgery was approximately 13 months (range, 4-120. single family home built in 1966 that was last sold on 12/15/2016. . The Zestimate for this Single Family is $2,017,800, which has increased by $13,529 in the last 30 days. coracoid process (two centers): 12-18 months. single family home built in 1967 that was last sold on 09/30/2022. What You Need to Know. Administrators, retired principal and administrator for the School District of Philadelphia. Acromion: características, tipos, función, patologías. A type II acromion has a concave curved undersurface, and represents a moderate risk for impingement syndrome (Fig. 726 Cedar Ln, Villanova, PA 19085. When the AC joint functions properly,. The acromion is a continuation of the scapular spine, and hooks over anteriorly. It enables slight gliding movement about the shoulder region. 4 beds, 5 baths, 10519 sq. The acromion is a large, flat bony anatomical structure that arises from the lateral end of the spine of the scapula and projects anteriorly to articulate with the lateral end of the clavicle. 9% as the complication of reverse shoulder arthroplasty 2. Ft. 10 There is a sequential pattern of injuries to the supporting structures of the AC joint during. Os acromiale is defined as an unfused ossification center of the acromion and can be classified as one of 3 different types named for the unfused segment immediately anterior to the nonunion ( Fig 1 ). 11 Hours Open 7/29. The outlet or Neers projection of the shoulder is a specialized projection demonstrating the coracoacromial arch often utilized in the investigation of shoulder impingement 1. This joint, a planar diarthrodial articulation between the clavicle and the acromion, contains a meniscus-like fibrous disk that is prone to degeneration. The Neer classification of clavicular fractures along with the AO classification system is one of the more frequently used classification systems when assessing clavicular fractures. What You Need to Know. It gets its name because of its similar shape to the Greek letter ‘delta’ (Δ). Structures located within the coracoacromial arch include: subacromial-subdeltoid bursa. This property is not currently available for sale. Fishing spots and baits to use at Arrowmink Creek? View our maps and read detailed fishing reports from nearby anglers. Often there is a bone spur in this region that can pinch against the rotator cuff or bursa (fluid filled sac) causing the pinching or impingement. This has been mainly because of the functional compromise these injuries cause. However, imaging has an important role in supporting the diagnosis, finding the possible cause as well as sequelae of impingement. The AC joint provides stability and motion to the shoulder complex. 5 cm in width and is roughly 5 cm long. Type 2 highlights a curved acromion, which begins to protrude and hang over the ball of the shoulder more than usual, therefore creating less subacromial space and a higher risk for impingement and abrasions to muscle and bursae. Os acromiale is an uncommon cause of shoulder pain with symptoms often resulting from an unstable meso-acromion. This property is not currently available for sale. Come discover the warmth and charm of this special 5 bedroo. glenoid: 10-11 years. Material and methods Current treatment guidelines for coracoid and acromion fractures are presented. - gluteal tuberosity - iliotibial tract - inferior border of the os coxae - superior border of the os coxae, The gluteus maximus is the most powerful muscle during __________. Type I is flat, type II is curved and type III hooked. It is often difficult to diagnose b ecause the clinical pre-sentation may be confusing and clinical tests lack specificity [2]. The outlet or Neers projection of the shoulder is a specialized projection demonstrating the coracoacromial arch often utilized in the investigation of shoulder impingement 1. Updated on August 14, 2023. Introduction. Acromion is a lateral process out of the shoulder blade of the shoulder joint. 1125 Ginkgo Ln is a 7,154 square foot property on a 2. The Rent Zestimate for this Single Family is $5,478/mo, which has increased by $23/mo in the last 30 days. A thin layer of synovial fluid also helps lubricate the joint. 7,413 Sq. : acromia) is a bony process on the scapula (shoulder blade). Primarily, subacromial impingement is a clinical diagnosis and one should not make a diagnosis or exclude it solely based on imaging. Acromion fractures may occur as a result of shoulder trauma and overuse injuries. When acromion process interacts with clavicle, they provide a stable attachment for muscles of your chest and arm. single family home built in 1932 that was last sold on 06/16/1995. The tour begins with the upper extremity, then addresses the axial body, and concludes with the lower extremity. Disorders of the Acromioclavicular Joint. The Rent Zestimate for this Single Family is $5,593/mo,. It happens when the cartilage wears down between the collarbone and the acromion, the bony. The acromioclavicular (AC) joint is the articulation between the two bones of pectoral girdle; the clavicle and scapula. The basi-acromion typically fuses to the scapular spine by 12 years of age, and the other centers of ossification are usually united by 22 years of age but may occur as late as. 14-7). Structure The acromion has a number of important features, including its shape, size,acro· mi· on ə-ˈkrō-mē-ˌän, -ən. The four muscles that raise and lower the arm (and their respective tendons) are collectively known as the rotator cuff . Motion. The acromion (plural: acromia), also known as the acromial process, is a small projection of the scapula that extends anteriorly from the spine of the scapula. This joint, a planar diarthrodial articulation between the clavicle and the acromion, contains a meniscus-like fibrous disk that is prone to degeneration. Gross anatomy It forms the acromioclavicular joint (ACJ) with the lateral third of. It is bilateral in ~20% 1. It meets with the end of your collar bone (clavicle) at your shoulder. , c. Resistance exercise program (within 2–3 weeks) – dynamic shoulder girdle stabilization. doi: 10. The AC joint is a diarthrodial joint defined by the lateral process of the clavicle articulating with the acromion process as it projects anteriorly off the scapula. It provides structural support between the shoulder and the rest of the skeleton, and is one of the most frequently fractured. The acromioclavicular capsule and ligaments stabilize the joint in the. The injured side was right in 15 patients, left in 11, and unknown in three. Fig. Other symptoms include: minor but constant pain in your arm. This joint helps maintain the position of the shoulder and is very important for shoulder control, motion, and strength. 13±6. Type II acromion may occasionally cause impingement of the shoulder joint. Radiographs help to confirm the injury. This causes the "separation" of the collarboneThe scapula permits a range of motion for the shoulder. Furthermore, with the variety of information we offer about people with the. Be sure there is clear documentation that bony work was performed on the acromion to support +29826. Ft. Shoulder pain is one of the most common orthopedic problems, along with back and neck pain. Er betegnelsen på fire muskler (subscapularis, supraspinatus, infraspinatus, teres minor) som mødes under acromion lige over ledhovedet og fæstner proximalt på. ; Serratus anterior is inserted along the medial border of costal surface; 1. joseph c. house located at 1309 Arrowmink Rd, Villanova, PA 19085 sold for $360,000 on Aug 23, 1994. 1. Introduction. Fourth, only anteriorly projected spurs were observed on ultrasonography; medial and inferior spurs are difficult to observe using ultrasonography. Separation. This list is for informational purposes only, and Pennsylvania Code; Title 25; Chapter 93. Diagnosis is made with axillary lateral radiographs of the shoulder. Villanova. Type II is the most common type and is gradual curve along the head of the shoulder. The acromion is a small section of the scapula which extends anteriorly from the spine of the scapula. Seit den Anfängen der modernen Schulterchirurgie rückte das Akromion immer wieder in das Zentrum der Pathogenese von Rotatorenmanschettendefekten und dem „subakromialen Schmerzsyndrom“. type III: fractures of the posterior acromion or scapular spine. It is a key anatomic structure in the shoulder joint, as it forms the top portion of the shoulder girdle and helps to support and stabilize the arm. Looking for details about 1309 arrowmink rd , villanova, PA?If so, you’ve come to the right place. Greater forces may also sprain the extra-articular coracoclavicular (CC) ligament. One of those details is the acromion. See moreIn human anatomy, the acromion (from Greek: akros, "highest", ōmos, "shoulder", pl. The Rent Zestimate for this Single Family is. Since there are no muscles that act directly on this joint, the movements within it are entirely passive. This narrowing can result in irritation of the rotator cuff tendons and bursa. Range of motion determination, muscle testing, neurologic assess ment, and special tests. However, the indication for acromioplasty remains a subject of debate. It may cause shoulder impingement, rotator cuff tear or degenerative acromioclavicular joint disease 5 . La prise d'antalgiques, d'anti-inflammatoires non. oblique orientation of joint surface. SOLD JUN 2, 2023 3D WALKTHROUGH. SOLD JUN 2, 2023 3D WALKTHROUGH. It contains 5 bedrooms and 6 bathrooms. true. However, with each microfracture, the remodeling of bone becomes more jagged and uneven, placing stress on the end of the clavicle and causing the deterioration of cartilage on the adjacent AC joint where the. Many payers are now requiring a “bony tool” to be referenced in the body of the report for +29826 to be paid. Increase in CC distance of 25-50% indicates complete CC ligament disruption. The acromion-clavicular ligament and coracoclavicular ligament. acromion flattened bony process that extends laterally from the scapular spine to form the bony tip of the shoulder adductor tubercle small, bony bump located on the superior aspect of the medial epicondyle of the femur anatomical neck line on the humerus located around the outside margin of the humeral headAs the acromion process of the dogs scapula is widening, you may easily palpate this structure superficially. The deltoid muscle has fi-bers originating from the inferolateral margin of the scapular spine and acromion. It can be assessed in the sagittal plane (acromion type, acromion slope) and in the coronal plane (lateral acromion angle, acromion index, critical shoulder angle). The AC joint connects the acromion process to the collarbone. Acromion pain can come from many different things, including sprains, strains, fractures, impingement, bursitis, and arthritis There are many ways of dealing with pain, and they’re usually specific to the injury — for non-traumatic injuries, starting with a light upper-body exercise program that progressively gets harder is a great method The Acromion is an anatomical feature on the scapula (the shoulder blade). It is also useful in seeing both the coracoid and acromion process in profile. acromion翻译：肩峰（双肩外侧最高处）。了解更多。Deltoid arises from lower border of the crest of the spine and from lateral border acromion. large, rounded, triangular shape. They constitute 8%–16% of scapula fractures , . In a recent anatomic and morphometric study of the scapula, the acromial shape was found to be flat in 23%, curved in 63%, and hooked. It contains 7 bedrooms and 6 bathrooms. The main symptom of shoulder impingement is sudden pain in your shoulder when you lift your arm overhead or backward. El acromion es un hueso que resulta de la continuación de la espina de la escápula, esta estructura está compuesta por varias partes, estos son dos perfiles, situados en la zona de arriba (superior) y la de abajo (inferior); y dos costados, ubicados en la parte interna y el otro en el exterior. It is an important landmark of the skeletal system and a muscle attachment point essential to the function of the shoulder joint. Patient position. Scapula is the scientific name for the shoulder blade. 6b). Materials and Methods: Twenty five cadavers (20 Males & 05 Females) making 50 specimens including both right and left sides were dissected as per standard dissection methods to find the origin, course, branches, distribution & exact location of the nerve beneath the deltoid muscle from important landmarks like: posterolateral aspect of. The intrinsic acromioclavicular ligaments provide 90% of the constraint to horizontal motion of the ACJ and are the greatest restraint to joint displacement in the anterior and posterior directions. This consists of two bones, the scapula and clavicle (Figure 7. Acromion fractures are rare injuries. Sold - 1321 Arrowmink Rd, Villanova, PA - $2,000,000. Shoulder impingement occurs when the tendon rubs against the acromion. The role of the acromion is still ambiguous, although several studies have attempted to correlate Neer’s original theory of extrinsic mechanical impingement as the primary aetiological factor of rotator cuff disease. There you may find a nutrient foramen at the junction of the distal extension of the spine and the scapular proper. An os acromiale merely represents the persistence of this centre without bony fusion. Radiographs help to confirm the injury. Courtlandt had been shot thrice and. Prepare for success with accurate data about the type of fish that are caugh in Arrowmink Creek, learn what baits are. post-traumatic: weeks to more commonly months after injury; atraumatic: stress-induced overuse, seen. Bigliani types of acromion and critical shoulder angle (CSA) have been implicated as indicators of rotator cuff disease. McGarvey and Hooper (2005) stated that the subdeltoid bursa extends 5 cm below the acromion process, so the. The os acromiale represents a failure of fusion between two of these apophyses [ 2 ]. Os acromiale in adults is easily. Because. It can be caused by various factors, such as trauma, overuse, or improper injection of vaccines. AC joint Impingement is a painful condition that occurs when the space beneath the acromion bone is narrowed. 68 acre lot with 4 bedrooms and 2. 1230 arrowmink RD, Villanova, PA 19085.