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Join this channel to get access to perks: / @performancesportspine Shoulder bursitis is a common yet often misunderstood cause of shoulder pain, especially in active individuals and older adults. This video explores the pathophysiology and clinical presentation of subacromial bursitis, with a detailed look at how isolated subacromial bursal fluid appears on MRI and what it means in the context of shoulder pathology. We highlight findings from the landmark study by Monu et al. (1994), which revealed that even in the absence of a visible rotator cuff tear, isolated bursal fluid was frequently associated with other structural abnormalities, including impingement and labral pathology. Imaging is a key part of the diagnostic process, but knowing when to order which modality is essential. We’ll break down the clinical indications for X-ray, MRI, ultrasound, and MR arthrography, along with red flags that warrant urgent imaging. From a management perspective, we also review evidence from the Kukkonen et al. (2018) RCT comparing surgical decompression with conservative exercise therapy, which showed no significant long-term difference—highlighting the value of non-surgical interventions as first-line treatment. Finally, we’ll walk through a progressive rehab protocol for patients with shoulder bursitis, including foundational Level 1 mobility and isometric work, and Level 2 strengthening and dynamic stability exercises. Whether you're a clinician, rehab professional, or medical student, this video provides a high-yield, evidence-based approach to diagnosing and managing shoulder bursitis in your practice. 👉 Don’t forget to like, subscribe, and turn on notifications for more clinical content and evidence-based orthopedic updates! Timeline: 0:00 Start 0:25 Introduction 0:48 Anatomy/Function 1:50 What causes your pain? 2:44 Common Presentation 3:22 Shoulder Screen 4:09 Updated Name 4:42 Exercise Rehab (Level 1-2) 11:32 Imaging 12:09 Surgery #ShoulderBursitis #Orthopedics #SportsMedicine #MRIshoulder #SubacromialBursa #PhysicalTherapy #RotatorCuff #ShoulderPain #MedicalEducation #ClinicianEducation #RehabScience Like, Comment and Subscribe to stay update with the latest content! Subscribe here: / @performancesportspine Connect with Performance Sport & Spine: Visit the website: http://www.performancesportnspine.com Like the Facebook page: / performancesportnspine Follow us on Instagram: / performance _sport_n_spine Disclaimer The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Performance Sport & Spine, nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.