Bursitis differential diagnosis: Difference between revisions

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==Overview==
==Overview==
Bursitis symptoms and signs are relatively non-specific. Even after collecting a detailed history and performing a physical examination, imaging studies are often necessary to rule out other musculoskeletal conditions. Bursitis must be differentiated from [[tendonitis]], [[cellulitis]], [[osteoarthritis]], [[ligament|ligamentous injuries]], and [[septic arthritis]].<ref name=Harrison-rheumatology> Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref><ref name=bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.</ref><ref name=Bursitis-four-types> Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.</ref>


==Differentiating Conjunctivitis from other Diseases==
==Differentiating Bursitis from other Diseases==
Bursitis must be differentiated from:
Bursitis must be differentiated from:<ref name=Harrison-rheumatology> Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref><ref name=bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.</ref><ref name=Bursitis-four-types> Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.</ref>
*[[Tendonitis]]
*[[Tendonitis]]
*[[Cellulitis]]
*[[Cellulitis]]
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|+
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Differential diagnosis}}
! style="background: #4479BA; width: 650px;" | {{fontcolor|#FFF|Differential diagnosis}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Subacromial bursitis]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Subacromial bursitis]]'''<ref name=bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[tendinitis|Rotator cuff tendinitis]]
*[[tendinitis|Rotator cuff tendinitis]]
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*[[Rotator cuff|Rotator cuff tears]]
*[[Rotator cuff|Rotator cuff tears]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Olecranon bursitis]]'''  
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Olecranon bursitis]]'''<ref name="pmid8894865">{{cite journal| author=Stell IM| title=Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management. | journal=J Accid Emerg Med | year= 1996 | volume= 13 | issue= 5 | pages= 351-3 | pmid=8894865 | doi= | pmc=1342774 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8894865  }} </ref><ref name="pmid21075998">{{cite journal| author=Lockman L| title=Treating nonseptic olecranon bursitis: a 3-step technique. | journal=Can Fam Physician | year= 2010 | volume= 56 | issue= 11 | pages= 1157 | pmid=21075998 | doi= | pmc=2980436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21075998  }} </ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Triceps]] [[tendinitis]]  
*[[Triceps]] [[tendinitis]]  
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*[[Lipoma]]
*[[Lipoma]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Trochanteric bursitis]]'''  
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Trochanteric bursitis]]'''<ref name="pmid17880718">{{cite journal| author=Brinks A, van Rijn RM, Bohnen AM, Slee GL, Verhaar JA, Koes BW et al.| title=Effect of corticosteroid injection for trochanter pain syndrome: design of a randomised clinical trial in general practice. | journal=BMC Musculoskelet Disord | year= 2007 | volume= 8 | issue=  | pages= 95 | pmid=17880718 | doi=10.1186/1471-2474-8-95 | pmc=2045096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17880718  }} </ref><ref name="pmid4055877">{{cite journal| author=Karpinski MR, Piggott H| title=Greater trochanteric pain syndrome. A report of 15 cases. | journal=J Bone Joint Surg Br | year= 1985 | volume= 67 | issue= 5 | pages= 762-3 | pmid=4055877 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4055877  }} </ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Femur Injuries and [[fractures]]
*Femur Injuries and [[fractures]]
*Femoral neck [[stress fracture]]
*Femoral neck [[stress fracture]]
*Femoral head [[avascular necrosis]]
*Femoral head [[avascular necrosis]]
*Lumbar disk Problems  
*[[Lumbar disk|Lumbar disk Problems]]
*[[Sacroiliac Joint]] Injury
*[[Sacroiliac Joint]] Injury
*[[Hamstring|Hamstring Injury]]
*[[Hamstring|Hamstring Injury]]
*[[Iliopsoas]] [[tendinitis]]
*[[Iliopsoas]] [[tendinitis]]
*Lumbar and [[lumbosacral disk]] injuries
*Lumbar and lumbosacral disk injuries
*Lumbosacral [[radiculopathy]]
*Lumbosacral [[radiculopathy]]
*Lumbosacral spine strain or sprain
*Lumbosacral spine strain or sprain
*[[Spondylolisthesis]]
*[[Spondylolisthesis]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Prepatellar bursitis]]'''  
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Prepatellar bursitis]]'''<ref name=Bursitis-four-types> Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.</ref><ref name=Prepatellar-Bursitis> Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.</ref><ref>Meyerding, Henry W., and ROBERT E. VanDEMARK. "POSTERIOR HERNIA OF THE KNEE:(BAKER'S CYST, POPLITEAL CYST, SEMIMEMBRANOSUS BURSITIS, MEDIAL GASTROCNEMIUS BURSITIS AND POPLITEAL BURSITIS)." Journal of the American Medical Association 122.13 (1943): 858-861.</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Meniscal tear]]
*[[Meniscal tear]]
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*[[Tumor]]s
*[[Tumor]]s
*Proximal tibia [[stress fracture]]
*Proximal tibia [[stress fracture]]
*[[Medial collateral ligament|Medial Collateral Ligament]] and [[Lateral collateral ligament|Lateral Collateral Ligament|[Lateral collateral ligament|Lateral Collateral Ligament Injury]]
*[[Medial collateral ligament]] and [[Lateral collateral ligament|Lateral collateral Ligament Injury]]
*[[Posterior Cruciate Ligament|Posterior Cruciate Ligament Injury]]
*[[Posterior cruciate ligament|Posterior cruciate ligament injury]]
*[[Osteoarthritis]]
*[[Osteoarthritis]]
*[[Rheumatoid Arthritis|Rheumatoid Arthritis (RF)]]
*[[Rheumatoid Arthritis|Rheumatoid Arthritis (RF)]]
*Pes Anserine Bursitis
*[[Baker's cyst]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Retrocalcaneal bursitis]]'''  
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Retrocalcaneal bursitis]]'''<ref name=Harrison-rheumatology> Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref><ref name=Achilles-tendon> Lyman, Jeffrey, Paul S. Weinhold, and Louis C. Almekinders. "Strain behavior of the distal Achilles tendon implications for insertional Achilles tendinopathy." The American Journal of Sports Medicine 32.2 (2004): 457-461.</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Achilles tendonitis]]
*[[tendonitis|Achilles tendonitis]]
*[[Tendon rupture]]
*Posterior ankle impingment
*[[Haglund deformity]]
*Tendon rupture
*[[Plantar fasciitis]]
*[[Plantar fasciitis]]
*[[Tumors]] (such as intraosseous lipoma)
|}
|}
'''Elbow bursitis''' must be differentiated from:
*[[Triceps]] [[tendinitis]]
*[[Olecranon]] spur
*[[Gout]] and [[Pseudogout]]
*[[Fracture]] of the olecranon process of the ulna
*[[Synovial cyst]] of the elbow joint
*[[Lipoma]]
'''Shoulder bursitis''' must be differentiated from:
*[[Tendonitis]]
*[[Frozen shoulder]] or [[adhesive capsulitis]]
*[[Rotator cuff]] tears
'''Knee bursitis''' must be differentiated from:
*[[Meniscal tear]]
*[[osteonecrosis|Spontaneous osteonecrosis]]
*Tumors
*Proximal tibia [[stress fracture]]
*[[Medial collateral ligament|Medial Collateral Ligament]] and [[Lateral collateral ligament|Lateral Collateral Ligament]] Injury
*[[Osteoarthritis]]
*[[Rheumatoid Arthritis|Rheumatoid Arthritis (RF)]]
'''Hip bursitis''' must be differentiated from:
*Femur Injuries and [[fractures]]
*Femoral neck [[stress fracture]]
*Femoral head [[avascular necrosis]]
*Lumbar disk Problems
*[[Sacroiliac Joint]] Injury
*[[Hamstring|Hamstring Injury]]
*[[Iliopsoas]] [[tendinitis]]
*Lumbar and [[lumbosacral disk]] injuries
*Lumbosacral [[radiculopathy]]
*Lumbosacral spine strain or sprain
*[[Spondylolisthesis]]
'''Ankle bursitis''' must be differentiated from:
*[[Achilles tendonitis]]
*[[Tendon rupture]]
*[[Plantar fasciitis]]
*[[Tumors]] (such as intraosseous lipoma)


==References==
==References==
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[[Category:Disease]]
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[[Category:Primary care]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
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{{WS}}

Latest revision as of 20:46, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Bursitis symptoms and signs are relatively non-specific. Even after collecting a detailed history and performing a physical examination, imaging studies are often necessary to rule out other musculoskeletal conditions. Bursitis must be differentiated from tendonitis, cellulitis, osteoarthritis, ligamentous injuries, and septic arthritis.[1][2][3]

Differentiating Bursitis from other Diseases

Bursitis must be differentiated from:[1][2][3]

Anatomic location

Based on anatomic location, bursitis must be differentiated from:

Type of Bursitis Differential diagnosis
Subacromial bursitis[2]
Olecranon bursitis[4][5]
Trochanteric bursitis[6][7]
Prepatellar bursitis[3][8][9]
Retrocalcaneal bursitis[1][10]

References

  1. ↑ 1.0 1.1 1.2 Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.
  2. ↑ 2.0 2.1 2.2 Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
  3. ↑ 3.0 3.1 3.2 Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.
  4. ↑ Stell IM (1996). "Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management". J Accid Emerg Med. 13 (5): 351–3. PMC 1342774. PMID 8894865.
  5. ↑ Lockman L (2010). "Treating nonseptic olecranon bursitis: a 3-step technique". Can Fam Physician. 56 (11): 1157. PMC 2980436. PMID 21075998.
  6. ↑ Brinks A, van Rijn RM, Bohnen AM, Slee GL, Verhaar JA, Koes BW; et al. (2007). "Effect of corticosteroid injection for trochanter pain syndrome: design of a randomised clinical trial in general practice". BMC Musculoskelet Disord. 8: 95. doi:10.1186/1471-2474-8-95. PMC 2045096. PMID 17880718.
  7. ↑ Karpinski MR, Piggott H (1985). "Greater trochanteric pain syndrome. A report of 15 cases". J Bone Joint Surg Br. 67 (5): 762–3. PMID 4055877.
  8. ↑ Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.
  9. ↑ Meyerding, Henry W., and ROBERT E. VanDEMARK. "POSTERIOR HERNIA OF THE KNEE:(BAKER'S CYST, POPLITEAL CYST, SEMIMEMBRANOSUS BURSITIS, MEDIAL GASTROCNEMIUS BURSITIS AND POPLITEAL BURSITIS)." Journal of the American Medical Association 122.13 (1943): 858-861.
  10. ↑ Lyman, Jeffrey, Paul S. Weinhold, and Louis C. Almekinders. "Strain behavior of the distal Achilles tendon implications for insertional Achilles tendinopathy." The American Journal of Sports Medicine 32.2 (2004): 457-461.


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