Anterior approach to the subacromial bursa
The anterior approach to the subacromial bursa may be helpful in patients in whom symptoms are more localised to under the anterior acromial margin. Approaching the patient from the front, a needle is introduced under the inferior surface of the acromium, 1cm lateral to the acromioclavicular joint. After resistance from the coracoacromial ligament is felt, there is minimal resistance as the subacromial bursa is entered.
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