Bursitis physical examination

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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

Physical examination

Type of Bursitis Physical examination Test
Subacromial bursitis
  • Redness at the affected site
  • Swelling and warmth
  • Stiffness in the shoulder joint
  • Reduced active range of motion (ROM) with decreased elevation, internal rotation and abduction
  • Tenderness for palpation at the affected site
  • Systematic inflammatory processes
    • Fever
    • Rheumatoid nodules
  • Speed’s test (not specific)
  • Neer’s test (not specific)
  • Impingement test (doesn’t exclude the other medical conditions that can be confused with bursitis such as rotator cuff injury)
  • Empty beer can test (differentiate a bursitis from a supraspinatus tendinitis)
  • Glenohumeral abduction (can be positive in bursitis and frozen shoulder which can occurred with bursitis )
Elbow bursitis
  • Swelling, at the posterior elbow
  • Goose egg appearance over the olecranon process
  • Tenderness for palpation at the affected site
  • Systematic inflammatory processes
    • Fever
    • Rheumatoid nodules
Hip bursitis
Knee Bursitis
Ankle bursitis
  • Tenderness at the back of heel
  • Swelling at the back of heel

References


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