in this video we see the linear scanner on a musculoskeletal preset here placed over the right shoulder with the arm the shoulder extended backwards here's the acromion the humeral head here's a thickened appearing what appears to be hypoechoic and maybe a chronic rotator cuff injury and here's the deltoid muscle under direct ultrasound guidance we can see a small 25 gauge needle coming in in plane with first a test dose here and then entering into the subacromial bursa area and you can see that tiny space expanding between the rotator cuff and the deltoid muscle now expanding with steroid being directly injected into the exact space of what appears to be a thickened subacromial bursa in this patient who presented with impingement symptoms you
