Subacromial bursitis: Difference between revisions
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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== | ||
Revision as of 18:04, 16 June 2022
Background
- 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[1]
- 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)[2]
Clinical Features
Differential Diagnosis
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Evaluation
Management
Disposition
See Also
External Links
References
- ↑ Salzman KL, Lillegard WA, Butcher JD (1997). "Upper extremity bursitis". Am Fam Physician 56 (7): 1797–806, 1811–2. PMID 9371010.
- ↑ 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/