The Subacromial Bursa: Current Concepts Review.

JBJS Rev · Nov 10 2021 · Review

Lanham NS, Swindell HW, Levine WN

Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY

Shoulder & Elbow Sports Medicine

SUMMARY — THE REDUCTIONReview highlights the subacromial bursa as a distinct structure critical to rotator cuff healing and shoulder pain, advocating preservation whenever possible during treatment.
Abstract, as published

»: The subacromial bursa is a distinct anatomic structure with distinct histologic features; it plays a critical role in the symptoms of the painful shoulder and in the local healing capacity of the rotator cuff tendon.

»: Treatment of pain from bursitis of the subacromial bursa largely involves nonoperative interventions; however, operative treatment may be considered in certain instances.

»: Preservation of the subacromial bursa should occur whenever possible given its intrinsic trophic and pluripotent factors, which have been shown to play important roles in rotator cuff tendon pathology.

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