Anatomical structure and function of subacromial bursa and its clinical significance

doi:10.3877/cma.j.issn.1674-134X.2022.03.012

Abstract

Abstract:

The subacromial bursa is the largest bursa in the body, which has important functions such as reducing the friction of shoulder joint movement, coordinating the movement of the shoulder joint, maintaining the stability of the shoulder joint, and promoting the healing of the rotator cuff tears. The pathological changes of the subacromial bursa are an important source of shoulder pain, which is closely related to many shoulder diseases. Realizing the value of the anatomical structure and function of the subacromial bursa is of great significance for the diagnosis and treatment of shoulder joint diseases. At present, the anatomical structure and function of the subacromial bursa have not been elucidated. The article reviewed the literature on the anatomical structure and function of the subacromial bursa to enable clinical and scientific researchers to have a more systematic understanding of the clinical significance of the subacromial bursa and to broaden the advances in tissue engineering and regenerative medicine.

Key words: Bursa, synovial, Rotator cuff tears, Shoulder pain, Tissue engineering, Regenerative medicine

Xi Chen, Chang Liu, Ping Li, Yuhang Li, Yanbin Chen, Kun Wang. Anatomical structure and function of subacromial bursa and its clinical significance[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(03): 337-342.

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References 65

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解剖结构及功能	简述
形状	圆形、帽状
边界	上方边界	三角肌、肩峰和喙肩韧带
	下方边界	冈上肌和冈下肌
	内侧边界	喙突
	外侧边界	肱骨大结节
	前缘边界	喙肱韧带
	后缘边界	冈下肌
厚度	常<2 mm，>3 mm是病变标志
神经支配	拥有大量游离神经末梢，肩胛上神经、胸外侧神经及腋神经支配其感觉输入
血液供应	由胸肩峰动脉、肩胛上动脉、腋动脉供血
压力	8 mmHg，当手臂抬起、负重或肩部病变时压力增加
	减少肩关节运动时的摩擦力
	协调肩关节运动
功能	维持肩关节稳定
	良好的分化潜能

解剖结构及功能	简述
形状	圆形、帽状
边界	上方边界	三角肌、肩峰和喙肩韧带
	下方边界	冈上肌和冈下肌
	内侧边界	喙突
	外侧边界	肱骨大结节
	前缘边界	喙肱韧带
	后缘边界	冈下肌
厚度	常<2 mm，>3 mm是病变标志
神经支配	拥有大量游离神经末梢，肩胛上神经、胸外侧神经及腋神经支配其感觉输入
血液供应	由胸肩峰动脉、肩胛上动脉、腋动脉供血
压力	8 mmHg，当手臂抬起、负重或肩部病变时压力增加
	减少肩关节运动时的摩擦力
	协调肩关节运动
功能	维持肩关节稳定
	良好的分化潜能

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