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1- Rotator cuff tear 2- subacromial bursitis 3 - shoulder deslocation ( trauma?)

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Tear of the long head of the biceps (LHB)

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Tear of the long head of the biceps (LHB)

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The most common site of injury to the LHB is at the myotendinous junction and the adjacent portion of the tendon.
LHB tears are readily identified on ultrasound as anechoic fluid disrupting the continuity of the muscle fibers.
The echogenicity of the fluid varies depending on the chronicity of the injury:

Acute tears typically appear as anechoic fluid.

Chronic tears may demonstrate echogenic debris or reflective echoes within the fluid.

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Shoulder osteoarthritis (OA) is the gradual breakdown of cartilage in the shoulder joint, causing bones to rub, leading to pain, stiffness, and reduced motion, often from age-related wear, past injuries, or overuse, with symptoms like deep aches, cracking sounds, and difficulty with daily tasks, treatable with rest, pain relievers, injections, and sometimes surgery, though it's less common than hip/knee OA but very debilitating.

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Subacromial-subdeltoid bursitis refers to the inflammation of the subacromial-subdeltoid bursaand is a common cause of shoulder pain.

Patients usually complain of localised pain and tenderness in the anterolateral part of the shoulder just underneath the acromion and acromioclavicular joint.

On ultrasound, the bursa is seen as an anechoic fluid-filled distended structure, with a hyperechoic wall and sometimes synovial hypertrophy. In the case of haemorrhage, there might be hyperechoic blood

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some of the most common causes ...

site: quirónsalud

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Shoulder Ultrasonography: Performance and Common Findings

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Shoulder Ultrasonography: Performance and Common Findings

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physio-pedia.com/Category:Shoulder_-_Conditions