Bursitis history and symptoms: Difference between revisions

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Localized [[erythema]] or [[edema]]  are variable and seen in superficial bursitis.  
Localized [[erythema]] or [[edema]]  are variable and seen in superficial bursitis.  
In septic bursitis, the joint pain can also be associated with [[fever]].
In septic bursitis, the joint pain can also be associated with [[fever]].
====Elbow===
====Elbow===
*Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)
*Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)

Revision as of 21:15, 17 August 2016

Bursitis Microchapters

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Overview

Historical perspective

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Pathophysiology

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Differentiating Bursitis from other Diseases

Epidemiology and Demographics

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Diagnosis

History and Symptoms

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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:

Shoulder bursitis

  • History of shoulder injury, tendinitis, or shoulder impingement syndrome
  • History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis

Knee bursitis

Elbow bursitis

  • 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

Ankle bursitis

Hip bursitis

  • History of trauma such as injury of the greater trochanter
  • History of muscle overuse around the bursa or the joint underneath the bursa
  • History of hip osteoarthritis
  • History of inflammatory diseases
  • Hip prosthesis

Symptoms

The symptoms of bursitis differ based on the anatomic location. Localized tenderness or pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. Localized erythema or edema are variable and seen in superficial bursitis. In septic bursitis, the joint pain can also be associated with fever.

=Elbow

  • Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)

Shoulder

  • Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
  • Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis

Hip

  • Pain in the lateral side of the hip with walking, running or sair-climbing
  • Lower extremities weakness
  • Pain with active and passive motion

knee

  • Reudeced range of motion at the knee
  • Focal swelling
  • Pain with movement

Ankle

  • Swelling at the back of heel
  • Pain at the back of the heel, especially when running uphill
  • Pain while standing on tiptoes

References


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