The term ‘Bursae’ refer to the small fluid-filled sacs present in different joints of the bones throughout the body. Subdeltoid bursitis refers to a painful condition of the shoulders which can occur due to inflammation in one such bursa. Find out all about this condition, including its varied symptoms, causes and treatment options.
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Subdeltoid bursa is located in the joints of the shoulders, between the shoulder joint capsule and the deeper surfaces of the deltoid muscle. Subdeltoid bursitis develops due to an inflammation of this particular bursa. It is a kind of shoulder bursitis, which can be acute or chronic in presentation. In acute cases, entire bursa is inflamed, which is quite rare. Shoulder bursitis can be accompanied with tendonitis, which is the irritation of the tendons. It is also known as Subacromial-subdeltoid bursitis.
The subacromial bursa is located below the coracoacromial ligament and acromion, dividing the ligament from rotator cuff and supraspinatus muscle. Subdeltoid bursa is joined to this bursa and when it gets inflamed, bursitis occurs as a natural consequence.
The exact prevalence of this disorder is not known. However, the working population is generally found to be more prone to such shoulder complaints. The subcromial bursa is more commonly affected than the subdeltoid bursa, which is a part of it.
The ICD9 code of this syndrome is 726.10.
Some of the reasons for the development of this syndrome are:
Picture 1 - Subdeltoid Bursitis
Some of the symptoms associated with this condition are:
This condition is detected using certain tests, which include MRI scan or ultrasound. X-Ray can be done on the shoulders which can reveal the internal condition. Apart from these investigation modes, physical examination of the shoulders also helps in detecting subdeltoid bursitis. Impingement test performed by the doctor helps to determine whether it is bursitis or tendinitis. Medical history of the patient also plays an important role in diagnosis of this condition. The symptoms of this disorder can be distinguished from other similar conditions by using these diagnostic modes.
Treatment guidelines of subdeltoid bursitis may vary, depending on the pathology of the condition. Acute subdeltoid bursitis, in which calcification may occur can be treated using medication, rest and heat. For healing Subacromial-subdeltoid bursitis, several treatment options have been listed:
Care should be taken to provide adequate rest to the inflamed bursa or shoulders. If at all, it cannot be rested, support it with a sling till the time the pain lessens. Do not keep it static for long and start light movements by exercising the shoulders. This will also prevent frozen shoulders. Mineral and vitamin supplements along with proper diet are essential for steady healing.
Know about some the possible complications of this disease:
Picture 2 - Subdeltoid Bursitis Image
To prevent the recurrence of this form of bursitis, shoulder muscle stretches, joint mobilization, light exercise and massages can be performed. To enhance motion in your shoulders, consult your physiotherapist who will guide you properly. Adopting a movement regime is important to ease the tightness in the joint capsule which might have developed in the process. Until your shoulders heal completely, try to protect it from external injuries. Other ways to prevent the occurrence of such conditions is by wearing protective gear during sports (to avoid injury to the shoulders). By doing warm up exercises, chances of injury can be reduced to a certain extent.
By availing varied treatments like medication, rehabilitation therapies, yoga and acupuncture, painful sensations associated to the disorder can be alleviated. It is best to consult a physician with the onset of symptoms, as this assures faster recovery. In older patients, there might be some degeneration due to the prevalence of this condition as they recuperate slower. Mild subacromial subdeltoid bursitis is not a complicated syndrome and usually it seems to subside in a couple of weeks. But the chronic form might have the tendency to occur again.