Question 1

what's  subacromial bursa?

Accepted Answer

Normal structure: Its a fluid filled sack between the rotator cuff and the acromion.  It resides below the acromion, hence "sub-acromial".  It functions to help the rotator cuff glide smoothly below the acromial bone.  When a sub acromial bone spur irritates it, you get subacromial bursitis, or impingement syndrome of the shoulder.  This can be painful, and a risk factor for rotator cuff tears in the future.  Its usually treated with anti-inflammatory meds, pt, and rest.  If not better, a work up is warranted.

Question 2

what does artifact on the proton axial sequence suggesting a longitudinal split mean on a mri? what does fluid in the subdeltoid and subacromial bursa

Accepted Answer

Possible tear: From your question it sounds like the images show something along the length of a tendon that could be from artifact or a tear. Fluid in the subdeltoid and subacromial bursa are secondary findings of a rotator cuff tendon tear. Rotator cuff tendon tear can happen in along the grain of the tendon (a longitudinal split) or across the grain of the tendon which shows up as a discontinuous tendon.

Question 3

got an mri today and my report said the following "inflammatory process of the subscapularis tendon and supraspinatus tendon with intrasubstance injury. subacromial bursa fluid in sub deltoid." what does this mean? do i have a tear?

Accepted Answer

No: the report does not specifically state that there is a muscle tear.

Question 4

what is partial thickness tear of the subacromial subdeltoid bursa with fluid?

Accepted Answer

Incomplete tear: You most likely have a partial thickness tear of the supraspinatus tendon, one of the rotator cuff muscles, with fluid in the subdeltoid/subacromial bursa.  A bursa is a fluid filled sac that decreases friction wear tendon rubs over or attaches to bone.  The tear is not completely all the way through, similarly to a partially frayed rope.  The fluid in the bursa is a result of the tear.

Question 5

i have a moderate size inferior acromion spur and minimal fluid in the subacromial subdeltoid bursa. i'm in a lot of pain. does this make sense?

Accepted Answer

No: Likely your pain is more than just these findings. There are many injuries to the muscle and fascia of the shoulder that can be part of your pain. Food choices can also cause a tremendous amount of inflammatory pain. You might try a massage to see what muscles are really tender.
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Question 6

contrast material in the gelenohumeral joint, w/o abnormal comm. w/ the subacromial sub deltoid bursa to suggest full thick rc tear. tear or no tear??

Accepted Answer

Torn rotator: Rotator cuff tear, full thickness with contrast seen in subdeltoid bursa and subacromial bursa indicate torn rotator cuff.  Rotator cuff is made up of 4 muscles: Supraspinatus, Infraspinatus, Teres Minor and Subscapularis.  Treatment varies depending on the location of full thickness tear.  Shoulder impingement syndrome and bursitis can also accompany with rotator cuff injury.

Question 7

no fluid present in the subacromial subdeltoid bursa moderate edema seen along the fibers of the infraspinatus muscle ? what does that mean . this was due to a auto accident 2 yrs ago .

Accepted Answer

This : This appears to be from a MRI report.  It is best to discuss the findings with the treating physician, who has had a chance to take a full history and examine you.

These findings sound unremarkable in isolation.  The comment on fluid is usually looking for inflammation in the bursae.  If there is no significant signal of increased fluid, it is unremarkable.  The edema in the infraspinatus muscle may be some fluid signal with no clinical significance.  Most people with rotator cuff problems have tearing of the supraspinatus muscle first, with extension into the infraspinatus only for larger tears.  The "edema" may also be normal for your age.  Of note, most rotator cuff tears are degenerative and not related to a specific injury, again depending on your age.

Again, clinical correlation is always best and you should go over the study with your physician.

Question 8

mri of right shoulder findings says normal variant os acromiale. very small glenohumeral joint effusion. trace fluid in the subacromial-subdeltoid bursa. can someone explain what this means? it doesnt seem like much. i have shoulder pain all day?

Accepted Answer

: Os Acromiale is essentially an unfused area of calcification in the shoulder joint. This condition is commonly associated with impingement of the shoulder muscles and rotator cuff tendonitis (inflammation of one of the rotator cuff muscles). The effusion is swelling within the joint space. The bursa is a pad that protects the muscle from rubbing on the bone. Hope this helps.

Question 9

do i need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

Accepted Answer

Varies: Full thickness tears of the rotator cuff will often retract and not heal; so if someone is young and reasonably active surgery usually optimizes outcome.  Partial tears can heal at times without surgery.  A high grade partial tear is very close to a complete tear; you would certainly want to be followed closely by an orthopedic surgeon to discuss your progress.

Question 10

can you tell me how to fix bursa on the shoulder?

Accepted Answer

Normal: The bursa of your shoulder is a normal structure.  It lubricates the tendon between the bone (acromion).  Assuming have bursitis.  This can be treated with proper shoulder girdle strengthening, rest, nsaids, occasional injection, etc.  If pain not improved after course of this for 4-6 weeks then may need to seek a shoulder specialist.

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Doctor answers about:

Subacromial bursa function

A member asked:

What's subacromial bursa?

A member asked:

What does artifact on the proton axial sequence suggesting a longitudinal split mean on a mri? what does fluid in the subdeltoid and subacromial bursa

A member asked:

Got an mri today and my report said the following "inflammatory process of the subscapularis tendon and supraspinatus tendon with intrasubstance injury. subacromial bursa fluid in sub deltoid." what does this mean? do i have a tear?

A member asked:

What is partial thickness tear of the subacromial subdeltoid bursa with fluid?

A member asked:

I have a moderate size inferior acromion spur and minimal fluid in the subacromial subdeltoid bursa. i'm in a lot of pain. does this make sense?

A member asked:

Contrast material in the gelenohumeral joint, w/o abnormal comm. w/ the subacromial sub deltoid bursa to suggest full thick rc tear. tear or no tear??

A member asked:

No fluid present in the subacromial subdeltoid bursa moderate edema seen along the fibers of the infraspinatus muscle ? what does that mean . this was due to a auto accident 2 yrs ago .

A member asked:

Mri of right shoulder findings says normal variant os acromiale. very small glenohumeral joint effusion. trace fluid in the subacromial-subdeltoid bursa. can someone explain what this means? it doesnt seem like much. i have shoulder pain all day?

A member asked:

Do i need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

A member asked:

Can you tell me how to fix bursa on the shoulder?

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