Bursitis

Question 1

Describe bursitis

Answer 1

• Bursa are synovial lined sacs which exist normally at sites of friction between tendons and bone and between these structures and skin;
• may also be present at sites caused by bony prominences and protruding parts of metal implants

Question 2

What are the types of bursitis?

Answer 2

1. friction bursitis
2. chemical bursitis
3. septic bursitis

Question 3

What is friction bursitis?

Answer 3

• a result of excessive friction resulting in inflammation and thickening of bursal wall
• common sites
  1. first MT head–bunion
  2. subacromial
  3. subdeltoid
  4. prepatellar (housemaids knee)
  5. ischial bursitis
  6. olecranon bursitis

Question 4

What is chemical bursitis?

Answer 4

resulting from metabolic disorders of excessive calcium or urate salts

Question 5

What is septic bursitis?

Answer 5

infectious organisms

Question 6

What are S/S of bursitis?

Answer 6

1. tenderness and pain with movement of part

2. restricted movement, swelling and edema at site

Question 7

How is bursitis diagnosed?

Answer 7

1. medical history
2. blood and urine tests
3. arthrograms

Question 8

How is bursitis treated?

Answer 8

1. cryotherapy
2. immobilization
3. analgesics and antibiotics
4. anti-inflammatories
5. ROM when sub-acute
6. excision of bursa or surrounding tissue

Question 9

What is tendinitis?

Answer 9

inflammation of the musculotendinous unit

Question 10

What is the etiology of tendinitis?

Answer 10

1. trauma
2. postural malalignment
3. biomechanical overuse
4. overuse
5. other disease processes

Question 11

What are S/S of tendinitis?

Answer 11

1. localized dull aching and severe pain with movement

Question 12

How is tendinitis diagnosed?

Answer 12

1. medical history
2. arthrograms
3. physical examination

Question 13

What are common location of tendinitis?

Answer 13

1. Achilles–overuse, overtraining, biomechanical malalignments
2. Patellar–jumping and downhill running
3. Iliotibial–overtraining, biomechanics of foot and heel
4. Biceps

Question 14

How is tendinitis treated?

Answer 14

1. RICES
2. anti-inflammatories
3. orthotics
4. physical therapy
5. surgery

Question 15

What are characteristics of polymyalgia rheumatica?

Answer 15

1. diffuse pain and stiffness affecting shoulder and pelvic girdle musculature
2. diagnosis difficult
3. severe disability can result
4. gradual onset with subtle symptoms
5. women 2x more likely than men
6. white women more than other races
7. unknown cause

Question 16

What are the symptoms of polymalgia rheumatica?

Answer 16

1. usually bilateral and symmetrical

2. pain and stiffness are the primary problems

Question 17

How is polymalgia rheumatica diagnosed?

Answer 17

clinical examination

Question 18

How is polymalagia rheumatica treated?

Answer 18

1. injections of pressure points

2. sustained manual pressure