Ultrasound-guided infiltration of the subacromial bursa of the shoulder

Tendons, in some locations, are protected by mucous membranes that interpose themselves between them and bone surfaces to prevent or reduce friction and premature deterioration. These structures are called bursae. Inflammation of these bursae can cause swelling, pain, and decreased joint function.

In the case of the rotator cuff tendons, the most relevant bursa for practical purposes and in daily clinical practice is the subacromiosubdeltoid bursa, or subacromial bursa.

Causes of subacromial bursitis of the shoulder
Some causes include:

• Repetitive injuries: Repetitive motion of the shoulder, such as lifting heavy objects or performing repetitive arm movements, can trigger subacromial bursitis.
• Arthritis: Arthritis can cause inflammation in the joints, including the shoulder, and contribute to the development of subacromial bursitis.
• Joint degeneration: With age, natural joint degeneration can cause inflammation and trigger subacromial bursitis.
• Trauma: An acute injury to the shoulder, such as a fall or blow, can cause subacromial bursitis.

Treatment of subacromial bursitis of the shoulder
Treatment for subacromial bursitis depends on the severity of symptoms and the underlying causes. However, some of the most common treatments include:

Anti-inflammatory drugs: Anti-inflammatory medications can help reduce inflammation and pain. Lifestyle modifications: Avoiding activities that cause pain or discomfort, taking frequent breaks, and reducing stress on the shoulder can help relieve the symptoms of subacromial bursitis.
Physical therapy: Physical therapy can help strengthen the shoulder muscles and improve joint mobility. A physical therapist can teach exercises to help relieve symptoms and prevent future problems.
Ultrasound-guided injection of the subacromial bursa: This is a valid alternative for the treatment of subacromial bursitis. Its safety, precision, and rapid action make it an effective treatment for subacromial bursitis. Injections of a local anesthetic and corticosteroid can relieve inflammation and pain, improving shoulder function.

It's important to have your case evaluated by a trauma surgeon and receive specific, personalized treatment to achieve the best results and prevent complications.