What is the role of subacromial bursitis in the etiology of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Some patients with hemiplegia complain of lateral shoulder pain that radiates down the arm when moved. This radiating pain seems to correlate with a diagnosis of subacromial bursitis.

Joynt demonstrated that injecting 10 mL of 1% lidocaine into the subjective pain sites related to at least moderate pain relief at the subacromial injection site and improved ROM in 50% of the patients. [32] This finding suggests that subacromial bursitis can contribute to pain and poor ROM in a significant number of cases.

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