Subacromial-subdeltoid bursal rupture

Case contributed by Ali Alsmair
Diagnosis almost certain

Presentation

Severe shoulder pain and swelling after lifting a heavy object.

Patient Data

Age: 55 years
Gender: Male

Significant fluid collection in the subacromial-subdeltoid bursa, as well as an adjacent ill-defined fluid tracking below the humeral metaphysis and around the subscapularis muscle, highly suggestive of subacromial-subdeltoid bursa rupture.

Case Discussion

Subacromial-subdeltoid bursa rupture is a rare traumatic injury. The most striking finding is the ill-defined shape of the bursa and extension of the fluid beyond the proximal humeral metaphysis and around the subscapularis muscle.

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