Subacromial bursitis - Revision history

Rossdonaldson1: /* Management */

2022-07-06T18:50:19Z

Management

← Older revision		Revision as of 18:50, 6 July 2022
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	*Non-operative management		*Non-operative management
	**Rest, cold/heat, [[NSAIDs]]		**Rest, cold/heat, [[NSAIDs]]
	**(+/-) Corticosteroid injection		**(+/-) [[Corticosteroid injection]]

	==Disposition==		==Disposition==

Rossdonaldson1: /* Management */

2022-07-06T18:49:34Z

Management

← Older revision		Revision as of 18:49, 6 July 2022
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	==Management==		==Management==
	*Non-operative management		*Non-operative management
	**Rest, cold/heat, NSAIDs		**Rest, cold/heat, [[NSAIDs]]
	**(+/-) Corticosteroid injection		**(+/-) Corticosteroid injection

Rossdonaldson1: /* Evaluation */

2022-07-06T18:47:53Z

Evaluation

← Older revision		Revision as of 18:47, 6 July 2022
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	==Evaluation==		==Evaluation==
			===Workup===
	*'''Labs'''		*'''Labs'''
	**Not usually indicated		**Not usually indicated
	**Consider synovial fluid analysis if concern for septic arthritis		**Consider [[synovial fluid analysis]] if concern for [[septic arthritis]]
	*'''Imaging'''		*'''Imaging'''
	**Not necessary for diagnosis		**Not necessary for diagnosis
	**Ultrasound may be helpful in measuring thickness of subacromial bursa		**Ultrasound may be helpful in measuring thickness of subacromial bursa
	**Consider shoulder X-ray to rule out fractures, dislocations, OA, etc.		**Consider shoulder X-ray to rule out [[fractures]], [[dislocations]], [[osteoarthritis]], etc.

			===Diagnosis===
			*Typically a clinical diagnosis

	==Management==		==Management==

Blsimpso: /* External Links */

2022-06-16T18:29:33Z

External Links

← Older revision		Revision as of 18:29, 16 June 2022
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	==External Links==		==External Links==
			*[https://www.physio-pedia.com/Shoulder_Bursitis Physiopedia - Shoulder Bursitis]

	==References==		==References==

Blsimpso: /* Clinical Features */

2022-06-16T18:27:14Z

Clinical Features

← Older revision		Revision as of 18:27, 16 June 2022
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	==Clinical Features==		==Clinical Features==
	*Point tenderness at the anterolateral aspect of the shoulder below the acromion		*Point tenderness at the anterolateral aspect of the shoulder below the acromion
	*Pain with ~~resisted~~ abduction of ~~the~~ arm ~~beyond 75~~-80 degrees		*Pain with abduction of arm between 60-120 degrees

	==Differential Diagnosis==		==Differential Diagnosis==

Blsimpso: /* Disposition */

2022-06-16T18:25:17Z

Disposition

← Older revision		Revision as of 18:25, 16 June 2022
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	==Disposition==		==Disposition==
			*Most patients can be discharged and treated outpatient
			*Consider admission if overlying cellulitis, signs of sepsis, or unable to tolerate pain

	==See Also==		==See Also==

Blsimpso: /* Clinical Features */

2022-06-16T18:22:28Z

Clinical Features

← Older revision		Revision as of 18:22, 16 June 2022
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	==Clinical Features==		==Clinical Features==
			*Point tenderness at the anterolateral aspect of the shoulder below the acromion
			*Pain with resisted abduction of the arm beyond 75-80 degrees

	==Differential Diagnosis==		==Differential Diagnosis==

Blsimpso: /* Evaluation */

2022-06-16T18:16:30Z

Evaluation

← Older revision		Revision as of 18:16, 16 June 2022
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	==Evaluation==		==Evaluation==
			*'''Labs'''
			**Not usually indicated
			**Consider synovial fluid analysis if concern for septic arthritis
			*'''Imaging'''
			**Not necessary for diagnosis
			**Ultrasound may be helpful in measuring thickness of subacromial bursa
			**Consider shoulder X-ray to rule out fractures, dislocations, OA, etc.

	==Management==		==Management==

Blsimpso: /* Management */

2022-06-16T18:11:08Z

Management

← Older revision		Revision as of 18:11, 16 June 2022
Line 14:		Line 14:

	==Management==		==Management==
			*Non-operative management
			**Rest, cold/heat, NSAIDs
			**(+/-) Corticosteroid injection

	==Disposition==		==Disposition==

Blsimpso: /* Background */

2022-06-16T18:04:14Z

Background

← Older revision		Revision as of 18:04, 16 June 2022
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	*Inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, coracoid (the acromial arch) and from the deep surface of the deltoid muscle<ref>Salzman KL, Lillegard WA, Butcher JD (1997). "Upper extremity bursitis". Am Fam Physician 56 (7): 1797–806, 1811–2. PMID 9371010.</ref>		*Inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, coracoid (the acromial arch) and from the deep surface of the deltoid muscle<ref>Salzman KL, Lillegard WA, Butcher JD (1997). "Upper extremity bursitis". Am Fam Physician 56 (7): 1797–806, 1811–2. PMID 9371010.</ref>
	*The subacromial bursa helps the motion of the supraspinatus tendon of the rotator cuff in activities such as overhead work.		*The subacromial bursa helps the motion of the supraspinatus tendon of the rotator cuff in activities such as overhead work.
	*Commonly occurs in individuals who participate in repetitive overhead activities (athletes, manual laborers, and factory workers)		*Commonly occurs in individuals who participate in repetitive overhead activities (athletes, manual laborers, and factory workers)<ref>Faruqi T, Rizvi TJ. Subacromial Bursitis. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541096/</ref>

	==Clinical Features==		==Clinical Features==