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Subacromial Bursa Injection: Difference between revisions
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Revision as of 18:37, 4 August 2020
This article is a stub.
Subacromial Bursa Injection | |
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Indication | Subacromial Bursitis |
Syringe | 5mL |
Needle | 25g 38mm |
Steroid | 20mg triamcinolone |
Local | 4.5mL 1% |
Volume | 5mL |
This procedure is used to treat subacromial pain syndrome or subacromial bursitis.
Anatomy
The subacromial subdeltoid bursa is located beneath the acromion process. It is below the deltoid muscle, and superficial to the rotator cuff tendons, biceps tendon sheath, and glenohumeral joint. On ultrasound imaging, the normal bursa is a thin hypoechoic structure that measures around 1mm in thickness, and is found between the subdeltoid flat plane and a fat plane superficial to the rotator cuff. Bursitis is indicated by enlargment, thickening, and it may be filled with echogenic material. Bunching may be seen with provocative manouevers.