A small subcutaneous bursa overlying the acromion tip, between the skin and the bony acromial prominence. It develops from repetitive pressure from backpack straps, shoulder pads, or direct overhead carrying.
Acromial tip bursitis is common in soldiers (rucksack marching), construction workers, and contact sport athletes. It presents as a localised, fluctuant swelling directly over the acromion tip, distinct from the subacromial bursa which lies deep to the deltoid. Padding, pressure relief, and aspiration resolve most cases. Infected acromial bursae may require surgical drainage.
Subcutaneous bursal swelling over the acromion tip from repetitive strap or pad pressure, presenting as a soft superficial lump over the shoulder point, treated with padding and aspiration.
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