Bursitis history and symptoms: Difference between revisions

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==Overview==
==Overview==
The [[symptoms]] of bursitis vary based on the location of the [[inflammation]]. Focal swelling, [[pain]], and [[redness]] are symptoms common to all forms of bursitis. Limbing, upper or lower extremity weakness, and [[fever]] are possible depending on the type of bursitis. Obtaining a complete history is helpful in determining whether the bursitis is associated with any specific hobbies or work-related activities.<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>


==History and symptoms==
==History and symptoms==
Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.
It is critical to collect a detailed and thorough history from the patient. Obtaining a complete history will be helpful in determining whether the bursitis is associated with any specific activities.
 
===History===
===History===
Specific areas of focus when obtaining a history from the patient include:
Specific areas to focus on when obtaining a history from the patient include:<ref name=Harrison-rheumatology>Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref>
*History of repetitive movement  
*History of repetitive movement  
*History of inflammatory disease (such as [[rheumatoid arthritis|rheumatoid arthritis (RF)]], [[systemic lupus erythematosus|[systemic lupus erythematosus (SLE)]])
*History of inflammatory disease (such as [[rheumatoid arthritis|rheumatoid arthritis (RF)]], [[systemic lupus erythematosus|systemic lupus erythematosus (SLE)]])
*History of [[trauma]] or microtrauma
*History of [[trauma]] or microtrauma


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
|+
! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|History}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|History}}
|-
|-
| 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;" |
*History of shoulder injury, [[tendinitis]], or [[shoulder impingement syndrome]]
*History of shoulder injury, [[tendinitis]], or [[impingement syndrome|shoulder impingement syndrome]]
*History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis
*History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis
|-
|-
| 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;" |
*History of direct trauma to the posterior elbow
*History of direct trauma to the posterior elbow
*History microtrauma, such as rubbing constantly the elbow against a table during writing
*History of microtrauma, such as constantly rubbing the elbow against a table while writing
*History of certain occupations, such as plumbers and technicians
*History of certain occupations, such as plumbers and technicians
*History of systematic inflammatory process, such as [[rheumatoid arthritis]]
*History of systemic inflammatory processes such as [[rheumatoid arthritis]]
*History of crystal deposition disease, like [[gout]] and [[pseudogout]]  
*History of crystal deposition disease, including [[gout]] and [[pseudogout]]  
|-
|-
| 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;" |
*History of [[trauma]] such as injury of the [[greater trochanter]]
*History of [[trauma]] such as injury of the [[greater trochanter]]
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*Hip [[prosthesis]]
*Hip [[prosthesis]]
|-
|-
| 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>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*History of sudden knee injury
*History of sudden knee injury
*Hidtory of microtrauma
*Hidtory of microtrauma
*History of [[staphylococcal|staphylococcal Infection]]
*History of [[staphylococcal|staphylococcal infection]]
*History of inflammatory disease [[arthritis]]
*History of inflammatory disease such as [[arthritis]]
*History of crystal arthropathy [[gout]]
*History of crystal arthropathy such as [[gout]]
|-
|-
| 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;" |
*History of tight-fitting shoes
*History of tight-fitting shoes
*History of [[gout]], [[rheumatoid arthritis]], and [[seronegative spondyloarthropathies]]
*History of [[gout]], [[rheumatoid arthritis]], and [[seronegative spondyloarthropathies]]
*History of [[Haglund disease]]
*History of Haglund disease
|}
|}


===Symptoms===
===Symptoms===
The symptoms of bursitis differ based on the anatomic location. Localized pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis.
The symptoms of bursitis differ based on the anatomic location. Localized pain with movement and decreased [[range of motion]] (ROM) are symptoms common to all forms of bursitis.
Localized [[redness]] or [[warmth]] are variable and seen in superficial bursitis.  
Localized [[redness]] or [[warmth]] are variable and seen in superficial bursitis.  
Septic bursitis is associated with [[fever]] in addition to other symptoms.
Septic bursitis is associated with [[fever]], in addition to other symptoms.




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! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Symptoms}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Symptoms}}
|-
|-
| 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;" |
*Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
*Mid-shoulder pain early in the course of bursitis, which gradually increases over time; eventually pain may be felt even at rest
*Pain is worse after repetitive activity such as painting, throwing a ball, or playing tennis
*Pain after repetitive activity such as painting, throwing a ball, or playing tennis
*pain is often worse at night  
*Pain worsens at night  
*Popping sensation with shoulder movements
*Popping sensation with shoulder movements
|-
|-
| 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;" |
*Painful or painless focal swelling at the posterior elbow  
*Painful or painless focal swelling at the posterior elbow  
|-
|-
| 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;" |
*Pain in the lateral side of the hip with walking, running or stair-climbing
*Pain in the lateral side of the hip with walking, running, or stair-climbing
*Lower extremities weakness
*Weakness of the lower extremities
*Pain with active and passive motion  
*Pain with active and passive motion  
|-
|-
| 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>
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Reduced range of motion at the knee
*Reduced [[range of motion]] at the knee
*Focal swelling, pain, and redness
*Focal swelling, [[pain]], and [[redness]]
*Difficulty kneeling and walking
*Difficulty kneeling and walking
|-
|-
| 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;" |
*Swelling at the back of heel
*Swelling at the back of heel
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{{WH}}
{{WS}}
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Rheumatology]]
[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Rheumatology]]
[[Category:Surgery]]
[[Category:Primary care]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
{{WH}}
{{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

The symptoms of bursitis vary based on the location of the inflammation. Focal swelling, pain, and redness are symptoms common to all forms of bursitis. Limbing, upper or lower extremity weakness, and fever are possible depending on the type of bursitis. Obtaining a complete history is helpful in determining whether the bursitis is associated with any specific hobbies or work-related activities.[1][2][3]

History and symptoms

It is critical to collect a detailed and thorough history from the patient. Obtaining a complete history will be helpful in determining whether the bursitis is associated with any specific activities.

History

Specific areas to focus on when obtaining a history from the patient include:[1]

Type of Bursitis History
Subacromial bursitis[2]
Olecranon bursitis[4][5]
  • History of direct trauma to the posterior elbow
  • History of microtrauma, such as constantly rubbing the elbow against a table while writing
  • History of certain occupations, such as plumbers and technicians
  • History of systemic inflammatory processes such as rheumatoid arthritis
  • History of crystal deposition disease, including gout and pseudogout
Trochanteric bursitis[6][7]
Prepatellar bursitis[3][8]
Retrocalcaneal bursitis[1][9]

Symptoms

The symptoms of bursitis differ based on the anatomic location. Localized pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. Localized redness or warmth are variable and seen in superficial bursitis. Septic bursitis is associated with fever, in addition to other symptoms.


Type of Bursitis Symptoms
Subacromial bursitis[2]
  • Mid-shoulder pain early in the course of bursitis, which gradually increases over time; eventually pain may be felt even at rest
  • Pain after repetitive activity such as painting, throwing a ball, or playing tennis
  • Pain worsens at night
  • Popping sensation with shoulder movements
Olecranon bursitis[4][5]
  • Painful or painless focal swelling at the posterior elbow
Trochanteric bursitis[6][7]
  • Pain in the lateral side of the hip with walking, running, or stair-climbing
  • Weakness of the lower extremities
  • Pain with active and passive motion
Prepatellar bursitis[3][8]
Retrocalcaneal bursitis[1][9]
  • Swelling at the back of heel
  • Pain at the back of the heel, especially when running uphill
  • Pain while standing on tiptoes

References

  1. ↑ 1.0 1.1 1.2 1.3 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. ↑ 4.0 4.1 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. ↑ 5.0 5.1 Lockman L (2010). "Treating nonseptic olecranon bursitis: a 3-step technique". Can Fam Physician. 56 (11): 1157. PMC 2980436. PMID 21075998.
  6. ↑ 6.0 6.1 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. ↑ 7.0 7.1 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. ↑ 8.0 8.1 Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.
  9. ↑ 9.0 9.1 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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