Bursitis Flashcards
What is trochanteric bursitis?
Inflammation of the bursa over the greater trochanter of the femur
What is a bursa?
A bursa is a fluid-filled sac that reduces friction between bones, muscles, tendons and ligaments
At what joints are bursa most commonly found?
Shoulders, elbows, hips and knees
What are the causes of trochanteric bursitis?
Soft tissue trauma
Strain injuries
Leg length discrepancies
Prolonged sitting
Excessive running
What is the presentation of trochanteric bursitis?
Lateral hip pain
- Aggravated by physical activity
- Worse at night
Swelling in the affected area
Positive trendelenburg test
What investigations/examination are involved in the diagnosis of trochanteric bursitis?
Palpation of area for tenderness
trendelenburg test
Imaging - MRI or ultrasound
What is olecranon bursitis?
Inflammation of the olecranon bursa in the elbow
What is the management of olecranon bursitis?
Use of ice
Anti-inflammatory medications
Elbow support
Steroid injection in severe cases
What is subacromial bursitis?
An inflammatory condition of the subacromial bursa, causing pain in the shoulder
Where is the subacromial bursa located?
Between the acromion and the rotator cuff
What are the causes of subacromial bursitis?
Subacromial impingement
Repetitive overhead injuries
Direct trauma
Crystal deposition
Infection
Rheumatoid arthritis
What is the presentation of subacromial bursitis?
Pain in the shoulder, worse with overhead activities
Reduced range of motion
Tenderness over the shoulder joint
Swelling and redness in severe cases
What investigations are used in the diagnosis of subacromial bursitis?
FBC, U&Es - rule out infection or rheumatoid arthritis
Shoulder XR
Shoulder MRI
What is the management of subacromial bursitis?
Rest
NSAIDs
Physiotherapy
Corticosteroid injections
What is pre-patellar bursitis?
Inflammation and swelling of the pre-patellar bursa, that lies anterior to the kneecap
What are the causes of pre-patellar bursitis?
Frequent trauma or pressure
Infection
Inflammatory conditions e.g rheumatoid
Direct injury to the knee
What is the presentation of pre-patellar bursitis?
Localised pain at the front of the knee
Swelling and tenderness of the patella
Warmth and redness in the affected area
Difficulty in knee flexion
What investigations are used in the diagnosis of pre-patellar bursitis?
Physical examination
Aspiration
Ultrasound or MRI
What is the management of pre-patellar bursitis?
Rest
Ice
Compression bandage
Exercise modification
NSAIDs
Corticosteroid injections for refractory cases
