Bursae:
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Several bursa are present, most importantare subacromial and subdeltoid bursa
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Help to separate the supraspinatus and thehead of humerus from the acromion,coracoid process and the deltoid muscle
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Bursa may be separate but commonly arecontinuous with each other and referred toas
Subacromial Bursa
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This permits smooth glidingmovement of humerusand supraspinatus tendon
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Interruption of this mechanism is acommon cause of pain
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Subacromial bursitis
is mostcommonly secondary to inflammationor degeneration of the supraspinatustendon
Coracoacromial Arch/supra humeral arch:
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Formed by the coracoid process, acromionand the coracoacromial ligament
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An osteoligamentous vault that covershumeral head and forms a space withinwhich the subacromial bursa, supraspinatustendon and a portion of the long head of the biceps lie
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It protects these structuresfrom direct trauma,such trauma couldsimply be carryinga heavy bag on the shoulder
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