• Title/Summary/Keyword: Subacromial Bursitis

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A Case Report on the improvement of Range of Motion and Pain Relief for Patients Diagnosed with Supraspinatus Tendinosis, Subacromial Bursitis and Subdeltoid Bursitis treated with Megadose Shinbaro Pharmacopuncture (극상근건염과 견봉하점액낭염 및 심각근하점액낭염으로 진단받은 견비통 환자를 대상으로 대용량 신바로 약침치료를 통한 통증경감과 가동범위 호전에 대한 증례보고)

  • Song, Kwang Chan;Seo, Ji Yeon;Song, Seung Bae;Cho, Myoung Ui;Choi, Bong seok;Ryu, Won Hyung;Kim, Doo Ri;Jeon, Yong Hyun
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.73-80
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    • 2017
  • Objectives : The purpose of this research is to show the effectiveness of the Korean medical treatment on patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis treated by Korean medical treatment Including megadose shinbaro pharmacopuncture. Methods : We used megadose shinbaro pharmacopuncture on patients who received treatment at Bucheon Jaseng Korean medicine hospital from December, 2016 to January, 2017. Also we checked NRS, SPADI, range of motion(ROM) and shoulder physical examination to follow the scale showing the improvement of the symptoms of the patients. Results : All 4 patientes showed the improvement of NRS, SPADI range of motion(ROM) and shoulder physical examination. Conclusion : This research showed that megadose shinbaro pharmacopuncture was effective on the treatment of shoulder pain patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis.

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Ultrasound-Guided Proliferative and Local Steroid Injection for Subacromial Bursitis (견봉하 점액낭염에서 초음파 하 증식과 국소 스테로이드 병합 주사 요법)

  • Nam, Ki Young;Moon, Young Lae
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.6-9
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    • 2008
  • Purpose: To investigate the effectiveness of injection therapy in the treatment of subacromial bursitis. Materials and Methods: A total of 38 patients with sonographic confirmation of subacromial bursitis were recruited into this study. The shoulder abduction range of motion and visual analog scale (VAS) were compared before injections and 3 wks after the completion of injections. Results: The shoulder range of abduction before injection was $77.89{\pm}14.17$ degrees and improved to $148.68{\pm}13.39$ degrees 3 wks after the injection treatments (P<0.05). VAS before injection was $6.8{\pm}1.4$ and improved to $1.4{\pm}0.8$ 3 wks after the injection treatments (P<0.05). Conclusions: Ultrasound may be used as an adjuvant tool in guiding the needle accurately into the inflamed subacromial bursa. The ultrasound-guided injection technique can result in significant improvement in shoulder abduction range of motion in treating patients with subacromial bursitis.

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Case Study of shoulder Impingement Syndrome with Subacromial bursitis Improved as Sweet BV herbal acupuncture (Sweet BV 약침을 이용한 견봉하 점액낭염을 동반한 어깨충돌증후군 환자 치험 1례)

  • Lim, Dae-Woong;Lee, Kyung-Jun;Jung, Tae-San;Choi, Byoung-Sun;Choi, Eun-Hee;Lee, Young-Soo
    • Herbal Formula Science
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    • v.18 no.2
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    • pp.259-265
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    • 2010
  • Objectives : The purpose of this study is to report the improvement after Sweet BV herbal acupuncture therapy of shoulder impingement syndrome with Subacromial bursitis. Methods : We treated a patient having shoulder pain due to shoulder impingement syndrome with Sweet BV herbal acupuncture therapy. We checked visual analogue scale (VAS) score and range of movement (ROM). Results : We treated shoulder pain. Thereafter ROM improved and VAS score dropped to the level 3 points from 10 points at onset. Conclusions : This report shows Sweet BV herbal acupuncture therapy has effectiveness on shoulder impingement syndrome with Subacromial bursitis.

Role of Exercise after Subacromial Bursa Injection in Subacromial Subdeltoid Bursitis (견봉하 삼각근하낭염 환자에서 견봉하낭 스테로이드 주사 후 운동의 효과)

  • Kim, Sunwoong;Kim, Sang Jun
    • Clinical Pain
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    • v.16 no.1
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    • pp.20-25
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    • 2017
  • Objective: To find that the patients who conducted home self-exercise in conjunction with intra-articular corticosteroid injection will have better improvement in subacromial subdeltoid (SASD) bursitis symptoms than those who received only an injection. Method: A prospective, nonrandomized, comparison study was conducted in outpatient rehabilitation clinic in a tertiary university hospital. Patients diagnosed with SASD bursitis with physical examination and ultrasound evaluation were included and received ultrasound guided injection (UGI). Patients were divided into two groups according to the compliance of self-exercise: UGI-exercise group and UGI only group. Visual analog scale (VAS) was checked before, at 3 weeks, 3 months, and 6 months after the UGI. A patient's global impression of change (PGIC) survey was made at 3 months after the UGI. Results: A total of 82 patients with SASD bursitis were included. At 3 weeks after the injection, the mean VAS for the UGI-exercise group was 2.6 ± 1.7 and for UGI only group was 1.9 ± 1.3 (p=0.030). At 3 months after the injection, the mean VAS for the UGI-exercise group was 4.0 ± 1.3 and for UGI only group was 5.4 ± 1.4 (p<0.001). Conclusion: We concluded that home-based self-exercise of the shoulder provides an additional benefit for pain alleviation possibly with prolonging the effect of injection in SASD bursitis.

Surgical Treatment of Multiple Rice Bodies in Chronic Subacromial and Subdeltoid Bursitis: A Case Report (만성 견봉하 및 삼각근하 점액낭염에 발생한 다발성 쌀소체의 수술적 치료: 증례 보고)

  • Kim, Do-Young;Hwang, Jung-Taek;Lee, Sang-Soo;Seo, Eun-Min;Jo, Yoon-Geol
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.69-73
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    • 2013
  • Multiple rice body formation is a complication of chronic bursitis frequently associated with seronegative rheumatoid arthritis or tuberculosis. It resembles synovial chondromatosis on imaging and clinically. We report on a pathologically diagnosed multiple rice body formation in subacromial and subdeltoid bursitis in a 44-year-old man who was treated by surgical removal and bursectomy. At 16 months after the removal, range of motion of affected shoulder was normal. No evidence of recurrence of rice body in plain X-ray and ultrasonography. Multiple rice body formed in chronic subacromial and subdeltoid bursitis could be treated with surgical removal and bursectomy successfully.

Multiple Rice Body Formation in Subacromial and Subdeltoid Bursal Spaces

  • Shin, John Junghun;Lee, Jun-Pyo;Kim, Doo-Sup
    • Clinics in Shoulder and Elbow
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    • v.19 no.2
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    • pp.96-100
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    • 2016
  • We encountered a rare condition of rice body in subacromial and subdeltoid spaces in a patient with unremarkable medical history. Although it is uncommon, there have been continued reports on its formation in certain type of infective and inflammatory arthritis. However, except for a traumatic event, evaluation yielded no known and conceivable cause for his chronic inflammatory bursitis. Relatively typical findings for rice body on magnetic resonance imaging have been described, and in our case the imaging prompted us to schedule early removal, which is generally accepted as the management of choice to prevent further progression of symptoms. The symptoms of the shoulder showed significant improvement, and a close follow-up schedule has been recommended for observation of recurrence and development of any foreseeable underlying cause.

Multiple Rice Bodies in Subacromial Space - A Case Report - (견봉하 공간의 다발성 미립체 - 증례 보고 -)

  • Min, Kyoung-Dae;Ryu, Ki-Hoon;Lee, Jae-Sang;Lee, Byung-Ill
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.232-235
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    • 2007
  • Multiple rice bodies are a rare disorder that is most commonly observed in chronic rheumatoid arthritis patients and as a complication of chronic inflammation in the bursa. However, it can occur in the absence of an underlying systemic disorder. Although it resembles synovial chondromatosis clinically and on imaging, the condition can be discriminated by an analysis of the radiographic and MR appearances. We encountered a case of multiple rice body formation with subacromial bursitis on the shoulder of a 37-year old man suffering from pain and motion limitation. The patient was treated by arthroscopic removal of the multiple rice bodies and a subacromial bursectomy. We present this case with a review of the relevant literature.

Analysis of Research Trends on the Korean Medicine Treatments of Subacromial-Subdeltoid Bursitis (견봉하-삼각근하 점액낭염의 한의치료에 대한 국내외 연구동향 분석)

  • Hyunsuk Park;Dong-Jin Jang;Jonghyun Lee;Sungjae Yoo;Minji Sun;Junsoo Kim;Yongjun Kim;Jeong-Hee Noh;Si-Hyoung Kim;Jung-Min Yun
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.85-100
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    • 2024
  • Objectives This study aims to analyze clinical studies on subacromial-subdeltoid (SA-SD) bursitis and propose future directions for clinical research on SA-SD bursitis. Methods We searched eight databases to investigate research trends in Korean medicine treatments for SA-SD bursitis up to November 2023. A total of thirty-one studies were included in this analysis. Results Among the included studies, there were six case reports from Korea, fifteen case reports, and ten randomized controlled trials from abroad. Various interventions were uesd, including acupuncture, pharmacopuncture, manual therapy, electro-acupuncture, cupping, physiotherapy, acupotomy, warm-acupuncture, herbal medicine, and moxibustion. The evaluation tools used in these studies included the total effective rate, visual analogue scale, range of motion, and numeral rating scale. Conclusions This study provides an overview of the research trends in Korean medicine treatments for SA-SD bursitis. However, given the low quality and small sample sizes of the studies, the evidence supporting effect of Korean medicine treatments for SA-SD bursitis was insufficient. Further clinical trials and systematic reviews are required.

Multiple Rice Body in both Glenohumeral Joint and Subacromial & Subdeltoid Bursa Simultaneously combined with Full Thickness Cuff Tear in Rheumatoid Arthritis: Arthroscopic Treatment & MR Appearance -A Case Report- (류마토이드 관절염에서 회전근 개 전층 파열과 동반되어 견관절과 견봉하 및 삼각근하 점액낭에 동시에 발생된 다발성 미립체: 관절경적 치료 및 자기 공명 영상 소견 -1례 보고-)

  • Noh, Kyu-Cheol;Chung, Yung-Khee;Nah, Kyong-Soo;Yoo, Jung-Han
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.1
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    • pp.65-69
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    • 2005
  • Numerous small fibrinous rice bodies are a common finding in joints afflicted with rheumatoid arthritis(RA) or seronegative arthropathy, Subacromial and subdeltoid bursitis of the shoulder associated with multiple rice body formation is a rare occurrence. To our knowledge, this is the first report to describe the arthroscopic treatment of massive rice bodies in both glenohumeral joint and subacromial-subdeltoid bursae combined with full thickness of rotator cuff in RA. Besides, the MR appearance of subacromial-subdeltoid bursal rice bodies have been previously described in only few recent reports. Therefore, we also describe the MR appearances subacromial-subdeltoid bursae associated with multiple rice bodies in RA.

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