Bursitis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Bursitis symptoms and signs are relatively non-specific. Even after detailed history and 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]].Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population." | 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 Bursitis 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: 650px;" | {{fontcolor|#FFF|Differential diagnosis}} | ! style="background: #4479BA; width: 650px;" | {{fontcolor|#FFF|Differential diagnosis}} | ||
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| 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]] | ||
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| 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]] | ||
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*[[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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*[[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;" | | ||
*[[tendonitis|Achilles tendonitis]] | *[[tendonitis|Achilles tendonitis]] | ||
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{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Rheumatology]] | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
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]
- Tendonitis
- Cellulitis
- Osteoarthritis
- Gout and Pseudogout
- Rheumatoid Arthritis (RA)
- Septic arthritis
- Ligamentous injury
- Fracture
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
- ↑ 1.0 1.1 1.2 Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.
- ↑ 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.
- ↑ 3.0 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.
- ↑ 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.
- ↑ Lockman L (2010). "Treating nonseptic olecranon bursitis: a 3-step technique". Can Fam Physician. 56 (11): 1157. PMC 2980436. PMID 21075998.
- ↑ 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.
- ↑ 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.
- ↑ Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.
- ↑ 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.
- ↑ 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.