Bursitis causes: Difference between revisions

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{{Bursitis}}
{{Bursitis}}
{{CMG}}; {{AE}} {{SaraM}}
{{CMG}}; {{AE}} {{SaraM}} {{LRO}}


==Overview==
==Overview==
Bursitis is commonly caused by repetition of movement or excessive pressure. [[Elbow-joint|Elbow]]s and [[knee]]s are the most commonly affected because they are rested upon more than many parts of the body with bursae and they also get the most repetitive use. Inflammation of bursae can also be caused by other inflammatory conditions such as [[rheumatoid arthritis]]. [[Scoliosis]] can also be a cause of bursitis of the shoulders although this is rare. Shoulder bursitis is more commonly due to overuse of the shoulder joint and muscles.
Aseptic bursitis is commonly caused by prolonged pressure, overuse, or strenuous activity. [[Elbow-joint|Elbow]]s and [[knee]]s are the most commonly affected because they are rested upon more than many other parts of the body with bursae and they also get the most repetitive use. Shoulder bursitis is more commonly due to overuse of the shoulder joint and muscles. Inflammation of bursae can also be caused by other inflammatory conditions such as [[rheumatoid arthritis]] and [[Spondyloarthritis]]. [[Gout]] and [[pseudogout]] can also be a cause of bursitis. Common causes of septic bursitis include ''[[Staphylococcus aureus]]'', ''[[Staphylococcus epidermidis]]'', and ''[[Streptococcus|Streptococcus spp]]''.<ref name= Bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population." Arthritis Care & Research 51.4 (2004): 642-651.</ref><ref name="pmid10987734">{{cite journal| author=Wang JP, Granlund KF, Bozzette SA, Botte MJ, Fierer J| title=Bursal sporotrichosis: case report and review. | journal=Clin Infect Dis | year= 2000 | volume= 31 | issue= 2 | pages= 615-6 | pmid=10987734 | doi=10.1086/313983 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10987734  }} </ref><ref name=Bursitis-NIH> National Institute of Arthritis and Musculoskeletal and Skin disease, Bursitis. http://www.niams.nih.gov/Health_Info/Bursitis/default.asp Accessed August 25, 2016 </ref><ref name="pmid3074561">{{cite journal| author=McAfee JH, Smith DL| title=Olecranon and prepatellar bursitis. Diagnosis and treatment. | journal=West J Med | year= 1988 | volume= 149 | issue= 5 | pages= 607-10 | pmid=3074561 | doi= | pmc=1026560 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3074561  }} </ref><ref name="pmid9632407">{{cite journal| author=Stell IM, Gransden WR| title=Simple tests for septic bursitis: comparative study. | journal=BMJ | year= 1998 | volume= 316 | issue= 7148 | pages= 1877 | pmid=9632407 | doi= | pmc=28586 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9632407  }} </ref>


The other main cause of bursitis is traumatic injury, which can cause swelling of the bursae. The swelling itself causes irritation because the sac will no longer fit in the small area between the bone and the functionary.  When the bone begins to increase pressure on the bursa, bursitis ensues.
==Common Causes==
==Causes==
==Causes==
===Aseptic===
===Aseptic===
Common causes of aseptic bursitis include:
Common causes of aseptic bursitis include:<ref name=Bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population." Arthritis Care & Research 51.4 (2004): 642-651.</ref><ref name="pmid10987734">{{cite journal| author=Wang JP, Granlund KF, Bozzette SA, Botte MJ, Fierer J| title=Bursal sporotrichosis: case report and review. | journal=Clin Infect Dis | year= 2000 | volume= 31 | issue= 2 | pages= 615-6 | pmid=10987734 | doi=10.1086/313983 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10987734  }} </ref><ref name=Bursitis-NIH> National Institute of Arthritis and Musculoskeletal and Skin disease, Bursitis. http://www.niams.nih.gov/Health_Info/Bursitis/default.asp Accessed August 25, 2016 </ref>
*Direct injury or [[trauma]]
*Direct injury or [[trauma]]
**Prolonged pressure (This can occur after prolonged kneeling or leaning on an elbow)
**Prolonged pressure (can occur after prolonged kneeling or leaning on an elbow)
**Overuse or strenuous activity
**Overuse or excessive strenuous activity
*Systemic inflammatory disease
*Systemic inflammatory disease
**[[Rheumatoid arthritis|rheumatoid arthritis (RA)]]***[[Spondyloarthritis]]
**[[Rheumatoid arthritis|rheumatoid arthritis (RA)]]
**[[Spondyloarthritis]]
*A crystal-depositing condition
*A crystal-depositing condition
**[[Gout]]
**[[Gout]]
Line 21: Line 20:


===Septic===
===Septic===
Common causes of septic bursitis include:
Common causes of septic bursitis include:<ref name="pmid10987734">{{cite journal| author=Wang JP, Granlund KF, Bozzette SA, Botte MJ, Fierer J| title=Bursal sporotrichosis: case report and review. | journal=Clin Infect Dis | year= 2000 | volume= 31 | issue= 2 | pages= 615-6 | pmid=10987734 | doi=10.1086/313983 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10987734  }} </ref><ref name="pmid3074561">{{cite journal| author=McAfee JH, Smith DL| title=Olecranon and prepatellar bursitis. Diagnosis and treatment. | journal=West J Med | year= 1988 | volume= 149 | issue= 5 | pages= 607-10 | pmid=3074561 | doi= | pmc=1026560 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3074561  }} </ref><ref name="pmid9632407">{{cite journal| author=Stell IM, Gransden WR| title=Simple tests for septic bursitis: comparative study. | journal=BMJ | year= 1998 | volume= 316 | issue= 7148 | pages= 1877 | pmid=9632407 | doi= | pmc=28586 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9632407  }} </ref>
*Bacterial infection  
*''[[Staphylococcus aureus]]''
**Staphylococcus aureus  
*''[[Staphylococcus epidermidis]]''
**Staphylococcus epidermidis
*''[[Streptococcus|Streptococcus spp]]''
Less commonly, septic bursitis is caused by:
*[[Mycobacterium|Mcobacteria]]
*''[[Haemophilus influenzae]]''
*[[Sporothrix schenckii]]
 
==Causes by Organ System==
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|-
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Celexa]],  [[Lexapro]],  [[Prozac]],  [[Sarafem]]
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| [[Blood disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[Haemophilus influenzae]],  [[Joint infection ]],  [[Mcobacteria]],  [[Sporothrix schenckii]],  [[Staphylococcus aureus]],  [[Staphylococcus epidermidis]],  [[Streptococcus spp]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Scoliosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| [[Obesity]], [[Overweight]]
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Renal disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Arthritis]],  [[Crystal-induced arthropathy]],  [[Gout]],  [[Joint infection ]],  [[Joint injury]],  [[Joint overuse]],  [[Pseudogout]],  [[Pyrophosphate arthropathy]],  [[Rheumatoid arthritis]],  [[Rheumatoid disease]],  [[Scleroderma ]],  [[Spondyloarthritis]],  [[Systemic lupus erythematosus]],  [[Tophaceous gout]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| [[Joint injury]],  [[Joint overuse]],  [[Overuse or excessive strenuous activity]],  [[Prolonged pressure]],  [[Trauma]]
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|-
|}
 
==Causes in Alphabetical Order==
{{columns-list|
*[[Arthritis]]
*[[Blood disease]]
*[[Celexa]]
*[[Crystal-induced arthropathy]]
*[[Gout]]
*[[Haemophilus influenzae]]
*[[Joint infection ]]
*[[Joint injury]]
*[[Joint overuse]]
*[[Lexapro]]
*[[Mcobacteria]]
*[[Obesity]]
*[[Overuse or excessive strenuous activity]]
*[[Overweight]]
*[[Prolonged pressure]]
*[[Prozac]]
*[[Pseudogout]]
*[[Pyrophosphate arthropathy]]
*[[Renal disease]]
*[[Rheumatoid arthritis]]
*[[Rheumatoid disease]]
*[[Sarafem]]
*[[Scleroderma ]]
*[[Scoliosis]]
*[[Spondyloarthritis]]
*[[Sporothrix schenckii]]
*[[Staphylococcus aureus]]
*[[Staphylococcus epidermidis]]
*[[Streptococcus spp]]
*[[Systemic lupus erythematosus]]
*[[Tophaceous gout]]
*[[Trauma]]
}}


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WS}}
{{WH}}
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Rheumatology]]
[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Rheumatology]]
[[Category:Surgery]]
[[Category:Primary care]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
{{WS}}
{{WH}}

Latest revision as of 20:46, 29 July 2020

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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] Luke Rusowicz-Orazem, B.S.

Overview

Aseptic bursitis is commonly caused by prolonged pressure, overuse, or strenuous activity. Elbows and knees are the most commonly affected because they are rested upon more than many other parts of the body with bursae and they also get the most repetitive use. Shoulder bursitis is more commonly due to overuse of the shoulder joint and muscles. Inflammation of bursae can also be caused by other inflammatory conditions such as rheumatoid arthritis and Spondyloarthritis. Gout and pseudogout can also be a cause of bursitis. Common causes of septic bursitis include Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus spp.[1][2][3][4][5]

Common Causes

Aseptic

Common causes of aseptic bursitis include:[1][2][3]

Septic

Common causes of septic bursitis include:[2][4][5]

Less commonly, septic bursitis is caused by:

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect Celexa, Lexapro, Prozac, Sarafem
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic Blood disease
Iatrogenic No underlying causes
Infectious Disease Haemophilus influenzae, Joint infection , Mcobacteria, Sporothrix schenckii, Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus spp
Musculoskeletal/Orthopedic Scoliosis
Neurologic No underlying causes
Nutritional/Metabolic Obesity, Overweight
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte Renal disease
Rheumatology/Immunology/Allergy Arthritis, Crystal-induced arthropathy, Gout, Joint infection , Joint injury, Joint overuse, Pseudogout, Pyrophosphate arthropathy, Rheumatoid arthritis, Rheumatoid disease, Scleroderma , Spondyloarthritis, Systemic lupus erythematosus, Tophaceous gout
Sexual No underlying causes
Trauma Joint injury, Joint overuse, Overuse or excessive strenuous activity, Prolonged pressure, Trauma
Urologic No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

References

  1. ↑ 1.0 1.1 Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population." Arthritis Care & Research 51.4 (2004): 642-651.
  2. ↑ 2.0 2.1 2.2 Wang JP, Granlund KF, Bozzette SA, Botte MJ, Fierer J (2000). "Bursal sporotrichosis: case report and review". Clin Infect Dis. 31 (2): 615–6. doi:10.1086/313983. PMID 10987734.
  3. ↑ 3.0 3.1 National Institute of Arthritis and Musculoskeletal and Skin disease, Bursitis. http://www.niams.nih.gov/Health_Info/Bursitis/default.asp Accessed August 25, 2016
  4. ↑ 4.0 4.1 McAfee JH, Smith DL (1988). "Olecranon and prepatellar bursitis. Diagnosis and treatment". West J Med. 149 (5): 607–10. PMC 1026560. PMID 3074561.
  5. ↑ 5.0 5.1 Stell IM, Gransden WR (1998). "Simple tests for septic bursitis: comparative study". BMJ. 316 (7148): 1877. PMC 28586. PMID 9632407.

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