Bursitis Flashcards
1
Q
Bursitis
A
Acute or chronic inflammation of a bursa
2
Q
Most common types of bursitis
A
- Knee
- Subacromial (deltoid)
- Trochanteric (hip)
- Retrocalcaneal (heel)
- Olecranon (elbow)
3
Q
Function of bursae
A
- jelly-like sacs containing small volume synovial fluid
- lie between skin/tendon or tendon/bone
- acts as friction buffer
- faciltates movements of adjacent structures
4
Q
Clinical features of bursitis
A
- pain at bursa site
- tenderness on palpation
- reduced active movement (passive spared)
- swelling/erythema (depending on how superficial)
5
Q
Two specific signs indicative of a bursitis
A
- painful arc (subacromial)
- lateral hip pain (trochanteric)
6
Q
Risk factors for developing bursitis
A
- occupation (mechanical stress)
- rheumatoid arthritis
- gout
- penetrating injury
- osteoarthritis
- nearby joint infection
7
Q
Investigating bursitis
A
diagnose clinically:
- localised pain and tenderness over burse
- swelling if superficial
8
Q
Management of non-septic bursitis
A
1st line:
- conservative & analgesia (paracetamol, topical NSAIDs)
2nd line:
- steroid injection (methylprednisolone acetate)
3rd line:
- surgery (very rarely done)
