Position and anatomical landmarks
The patient should be in a supine position. The lateral corner of the acromion is identified. The subacromial bursa is injected exactly in the center.
After sterile preparation of the area, 4 ml bupivacaine 0.25% with 40 mg depot corticosteroid is injected.
Directly after a well-performed infiltration of the shoulder bursa, the passive shoulder abduction has to be normalised.
- The most serious complication after the injection is infection.
- Small subcutaneous bleedings may result in a temporary increase in pain after the injection.