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Subacromial bursa Diagram of normal bursae surrounding the shoulder joint: (1) subacromial-subdeltoid bursa, (2) subscapular recess, (3) subcoracoid bursa, (4) coracoclavicular bursa, (5) supra-acromial bursa and (6) medial extension of subacromial-subdeltoid bursa.
Subacromial bursitis is a condition caused by 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, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]
Calcific bursitis refers to calcium deposits within the bursae. This most occurs in the shoulder area. The most common bursa for calcific bursitis to occur is the subacromial bursa. A bursa is a small, fluid-filled sac that reduces friction, and facilitates movements between its adjacent tissues (i.e., between tendon and bone, two muscles or ...
Bursae of shoulder joint: (1) and (6) subacromial-subdeltoid bursa, (2) subscapular recess, (3) subcoracoid bursa, (4) coracoclavicular bursa, (5) supra-acromial bursa. A number of small fluid-filled sacs known as synovial bursae are located around the capsule to aid mobility: Between the joint capsule and the deltoid muscle is the subacromial ...
On physical exam, the physician may twist or elevate the patient's arm to test for reproducible pain (the Neer sign and Hawkins-Kennedy test). These tests help localize the pathology to the rotator cuff; however, they are not specific for impingement. [16] Neer sign may also be seen with subacromial bursitis. [17]
Sequestration of fluid into a third space also can lead to volume loss and hypovolemic shock. Third-spacing of fluid can occur in intestinal obstruction , pancreatitis , obstruction of a major venous system , vascular endothelium [ 10 ] or any other pathological condition that results in a massive inflammatory response .
The supra-acromial bursa is located on the superior aspect of the acromion and normally does not communicate with the glenohumeral joint. [1] Supra-acromial bursitis has not been receiving much attention from literature and remains described mainly as case reports of presumptive diagnosis with no histopathological correlation. [ 2 ]
Bursitis is the inflammation of one or more bursae (synovial sacs) of synovial fluid in the body. They are lined with a synovial membrane that secretes a lubricating synovial fluid. [1] There are more than 150 bursae in the human body. [1] The bursae rest at the points where internal functionaries, such as muscles and tendons, slide across bone ...