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Bursitis, Sports Medicine

Ziad Fahad Rayes, MBBS, MBA, Ccfp(Sem), Dip Sport Med(Casem) and Muath Alammar, MD, SBFM Reviewed 04/2019
 


BASICS

  • May be difficult to distinguish from fractures. Suspicious joints should be immobilized, particularly in the setting of trauma. Also, septic joint is a possibility that needs to be excluded.

  • Inf...

DIAGNOSIS

  • Full assessment of regional musculoskeletal function

  • Any suspicion of infection warrants aspiration of bursae (especially superficial bursa).

  • Aspiration of hip and other deep bursae should be ...

TREATMENT

ED treatment: 
  • Shoulders should not be immobilized for >2 to 3 days due to the risk of adhesive capsulitis.

  • Aseptic bursitis: Rest, ice (application of an ice pack for 20 min for superficia...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Most patients respond to therapy within 1 wk.

  • Rheumatology or orthopedic referral is recommended for patients with repetitive acute bouts, necessitating repeated j...

REFERENCES

1
Baumbach SF, Lobo CM, Badyine I, et al. Prepatellar and olecranon bursitis: literature review and development of a treatment algorithm. Arch Orthop Trauma Surg.  2014;134(3):359–370.
2
...

ADDITIONAL READING

  • Kim JY, Chung SW, Kim JH, et al. A randomized trial among compression plus nonsteroidal antiinflammatory drugs, aspiration, and aspiration with steroid injection for nonseptic olecr...

CLINICAL PEARLS

  • Bursitis could happen in any tendon mobilizing over skin or bone.

  • Conservative treatment with ice, NSAIDs, and modifying activity is the treatment in most cases.

  • Any suspicion of infecti...

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