Spontaneous Isolated Infection of the Subacromial Bursa

Khan, Hayat Ahmad; Al-Tawil, Karam

doi:10.1155/2013/564690

Cited by 2 publications

(2 citation statements)

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“…Septic bursitis is commonly located in superficial bursae [11]-such as the olecranon or the bursae around the knee; infection of the SASD bursa is uncommon, with only a few cases in the literature [12]. Infections into the SASD bursa are generally associated with injection into the bursa (typically for rotator cuff tendonitis and impingement syndrome), and with trauma, while hematogenous spread is rare (immunocompromised individuals, intravenous drug abuse, tuberculosis).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

et al. 2015

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Purpose The presence of the subacromial-subdeltoid (SASD) bursa inflammation has recently been proposed as a primary radiologic factor predicting persistent limitation and pain in operated patients. The aim of the study was to verify the hypothesis that pain, or increased shoulder pain, could be associated with SASD bursitis not only in operated patients but also in general population. Methods A consecutive series of 1940 shoulder ultrasound examinations were performed by our Department over a 5-year period using linear multi-frequency probes. All reports of examination executed for shoulder pain were reviewed. The video clips were independently reviewed by two radiologists: effusion in the SASD bursa and the presence of other pathological conditions were evaluated and confirmed. Results A total of 1147 shoulder video clips were reevaluated, and 1587 pathologies were detected; 65.5 % of patients had only one pathology, 30.4 % had two and 4.1 % presented three pathologies. The difference between the group with and without effusion is statistically significant for acromioclavicular joint arthritis, supraspinatus tendon calcific tendinopathy, full-thickness and superficial tear of the supraspinatus, traumas and rheumatoid arthritis with a p value \0.01. Conclusions Our study shows that the effusion in the SASD bursa is frequently associated with shoulder pain often independently from the underlying pathology; further studies are needed to confirm the statistical significance of this relationship by clarifying possible confounding factors.Keywords Ultrasound Á Subacromion-subdeltoid bursa Á Bursal inflammation Á Shoulder pain Riassunto Scopo del lavoro La presenza di alterazioni flogistiche a livello della borsa subacromiondeltoidea (BSAD) è stata recentemente proposta come fattore principale per predire la comparsa di dolore e limitazione funzionale nei Pazienti operati a livello della spalla. Lo scopo del nostro studio è di verificare l'ipotesi che il dolore, o l'incremento dello stesso, sia associato con la flogosi della BSAD non solo nei Pazienti operati ma anche nella popolazione generale. Materiali e Metodi In 5 anni nel nostro dipartimento sono state eseguite, utilizzando esclusivamente sonde lineari multifrequenza, 1940 ecografie della spalla. Tutti gli esami aventi come indicazione il dolore sono stati selezionati. I videoclip degli esami selezionati sono stati rivalutati da due radiologi indipendentemente: è stata in tal modo confermata la presenza di versamento nella BSAD e di altri reperti patologici. Risultati Sono stati rivalutati i videoclip di 1147 ecografie di spalla. Sono state individuate 1587 alterazioni patologiche; il 65.5 % dei Pazienti presentava unicamente un riscontro patologico, il 30.4 % ne presentava due e il 4.1 % ne presentava 3. La differenza tra gruppo con e senza versamento è statisticamente significativa (p value \0.01) in caso di artrosi acromionclaveare, tendinopatia calcifica del sovraspinato, lesioni a tutto spessore e del versante bursale del tendine del sovraspinato, ...

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Section: Discussionmentioning

confidence: 99%

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

et al. 2015

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“…Routes of infection into the subacromial bursa are associated with three main risk factors: immunocompromised state [2], injection into the subacromial bursa [3], and hematogenous spread [4,5]. Staphylococcus aureus is the most common pathogen and has been reported in approximately 80% of cases [5].…”

Section: Discussionmentioning

confidence: 99%

Septic subacromial bursitis caused byStreptococcus pneumoniae:A case report

Khalil¹,

Hajj²,

Musharrafıeh³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review ABSTRACTIntroduction: Isolated infection of the subacromial bursa is a rare entity. Primary subacromial septic bursitis is uncommon compared to other superficial bursa because of its deep anatomic location. The potential for an underlying spread of infection to unusual sites has been reported in the setting of diabetes mellitus and can very easily be overlooked. Case Report: We describe the clinical presentation, radiological investigations and strategies for the management of a 59-year-old diabetic male presented with subacromial bursitis as a result of Streptococcus pneumoniae infection. It resolved without sequelae using oral and parenteral antibiotics, incision and drainage, and surgical debridement. The range of motion improved gradually until full recovery. Conclusion: Subacromial septic bursitis is rarely reported in medical literature. Its fast identification and treatment is needed to allow full recovery of range of motion.

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Spontaneous Isolated Infection of the Subacromial Bursa

Cited by 2 publications

References 5 publications

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

Septic subacromial bursitis caused byStreptococcus pneumoniae:A case report

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