Bursitis history and symptoms: Difference between revisions

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*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
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| 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>
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*History of direct trauma to the posterior elbow
*History of direct trauma to the posterior elbow
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*History of crystal deposition disease, like [[gout]] and [[pseudogout]]  
*History of crystal deposition disease, like [[gout]] and [[pseudogout]]  
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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
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*History of [[trauma]] such as injury of the [[greater trochanter]]
*History of [[trauma]] such as injury of the [[greater trochanter]]

Revision as of 12:43, 25 August 2016

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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

History and symptoms

Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.

History

Specific areas of focus when obtaining a history from the patient include:

Type of Bursitis History
Subacromial bursitis
Olecranon bursitis[1][2]
  • History of direct trauma to the posterior elbow
  • History microtrauma, such as rubbing constantly the elbow against a table during writing
  • History of certain occupations, such as plumbers and technicians
  • History of systematic inflammatory process, such as rheumatoid arthritis
  • History of crystal deposition disease, like gout and pseudogout
Trochanteric bursitis[3]<ref name="pmid4055877">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. </ref
Prepatellar bursitis
Retrocalcaneal bursitis

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
  • Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
  • Pain is worse after repetitive activity such as painting, throwing a ball, or playing tennis
  • pain is often worse at night
  • Popping sensation with shoulder movements
Olecranon bursitis
  • Painful or painless focal swelling at the posterior elbow
Trochanteric bursitis
  • Pain in the lateral side of the hip with walking, running or stair-climbing
  • Lower extremities weakness
  • Pain with active and passive motion
Prepatellar bursitis
  • Reduced range of motion at the knee
  • Focal swelling, pain, and redness
  • Difficulty kneeling and walking
Retrocalcaneal bursitis
  • Swelling at the back of heel
  • Pain at the back of the heel, especially when running uphill
  • Pain while standing on tiptoes

References

  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.
  2. Lockman L (2010). "Treating nonseptic olecranon bursitis: a 3-step technique". Can Fam Physician. 56 (11): 1157. PMC 2980436. PMID 21075998.
  3. 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.


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