SHOULDER SUBACROMIAL BURSITIS                            KANDIL NOTES

INTRODUCTION

  • Shoulder subacromial bursitis is a painful condition caused by inflammation of one of the shoulder bursae between the shoulder acromion bone and rotator cuff tendons

  • A bursa is a fluid filled sac that serves as a lubricant between muscles/tendons to allow for smooth frictionless motion

  • When irritated, the bursa gets inflamed and becomes filled with fluid, thereby causing pain 

  • CAUSES

  • There are many potential causes for shoulder subacromial bursitis. Most commonly, it is due muscle weakness and imbalance leading to rubbing of the rotator cuff tendons on the acromion bone

  • Other causes include repetitive shoulder motion, direct trauma or fall on the shoulder, tendinopathy of surrounding tendons, or idiopathic with no known cause

  • SIGNS AND SYMPTOMS

  • Patients with shoulder subacromial bursitis have pain in the front or side of the shoulder

  • They often report tenderness to palpation over the side of the shoulder and pain with repetitive shoulder motion

  • TREATMENT​​

  • The mainstay of treatment for shoulder subacromial bursitis is a course of physical therapy or home exercise program involving shoulder stabilization and strengthening of the rotator cuff muscles 

  • Rest, ice, and anti-inflammatories may also help with shoulder subacromial bursitis

  • Surgery is only considered in patients with failure of extensive conservative management

PREVENTION

  • Maintaining a strong and stable shoulder girdle can help decrease the chance of developing shoulder subacromial bursitis

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