Bursitis MRI: Difference between revisions

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==Overview==
==Overview==
MRI is not helpful in the diagnosis of bursitis. However, MRI of the involved joint may be helpful to determine the location of an inflammation such superficial bursa, deep bursa, or tendon.
MRI is not often required in patients with bursitis. Due to the requisite cost and time input, the use of MRI is limited compared to ultrasound. MRI is often reserved for patients for whom there is reason to suspect the presence of other medical conditions such as [[tumors]], [[ligament|ligamentous injures]], and [[tendon|tendon injuries]]. On MRI, bursitis is characterized by bursal fluid collection, subcutaneous [[edema]], and joint effusion.<ref name=Olecranon-Bursitis> Radiopedia. Olecranon Bursitis. http://radiopaedia.org/articles/olecranon-bursitis Accessed on August 23, 2016</ref><ref name=Prepatellar-Bursitis> Radiopedia. Prepatellar Bursitis. http://radiopaedia.org/cases/prepatellar-bursitis-1 Accessed on August 23, 2016</ref>


==MRI==
==MRI==
MRI is not helpful in the diagnosis of bursitis. However, MRI of the involved joint may be helpful to determine the location of an inflammation such superficial bursa, deep bursa, or tendon.
MRI is not often required in patients with bursitis. MRI is usually reserved for patients for whom there is reason to suspect the presence of other medical conditions such as [[tumors]], [[ligament|ligament injures]], and [[tendon|tendon injuries]].
 
On MRI, bursitis is characterized by:<ref name=Olecranon-Bursitis> Radiopedia. Olecranon Bursitis. http://radiopaedia.org/articles/olecranon-bursitis Accessed on August 23, 2016</ref><ref name=Prepatellar-Bursitis> Radiopedia. Prepatellar Bursitis. http://radiopaedia.org/cases/prepatellar-bursitis-1 Accessed on August 23, 2016</ref>
*Bursal fluid collection
**Hypointense on T1
**Hyperintense on T2
**Enhancement of bursal margins on (Gd)
*Subcutaneous [[edema]]
*Joint effusion
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 650px;" | {{fontcolor|#FFF|MRI Images}}
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Subacromial bursitis]]'''<ref>Radiopedia. Shoulder Bursitis. http://radiopaedia.org/cases/shoulder-bursitis Accessed on August 23, 2016</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
<gallery>
Image:Shoulder-bursitis_(1).jpg| Coronal T1
Image:Shoulder-bursitis_(3).jpg|Coronal T2
Image:Shoulder-bursitis.jpg|Axial T2
</gallery>
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Olecranon bursitis]]'''<ref name=Olecranon-Bursitis> Radiopedia. Olecranon Bursitis. http://radiopaedia.org/articles/olecranon-bursitis Accessed on August 23, 2016</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
<gallery>
Image:Olecranon-bursitis-3.JPG|Sagittal T2
Image:Olecranon-bursitis-5.jpg|Sagittal PD FS
Image:Olecranon-bursitis.jpg|Sagittal STRI
</gallery>
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Trochanteric bursitis]]''' <ref> Radiopedia. Trochontreic Bursitis. http://radiopaedia.org/cases/trochanteric-bursitis Accessed on August 23, 2016</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
<gallery>
Image:Abductor-tendon-tear-and-bursitis-after-total-hip-arthroplasty.jpg|Axial T1
Image:Trochanteric-bursitis.jpg|STRI
</gallery>
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Prepatellar bursitis]]'''<ref name=Prepatellar-Bursitis> Radiopedia. Prepatellar Bursitis. http://radiopaedia.org/cases/prepatellar-bursitis-1 Accessed on August 23, 2016</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
<gallery>
Image:Prepatellar-bursitis_(1).jpg|PD
Image:Prepatellar-bursitis-1.jpg|
Image:Prepatellar-bursitis.jpg|
</gallery>
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Intermetatarsal bursitis'''<ref> Radiopedia. Intermetatarsal Bursitis. http://radiopaedia.org/cases/intermetatarsal-bursitis Accessed on August 23, 2016</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |
<gallery>
Image:Intermetatarsal-bursitis_(1).jpg|Axial STRI
Image:Intermetatarsal-bursitis.jpg|Coronal T2
Image:Intermetatarsal-bursitis (3).jpg|Coronal T1
</gallery>
|}


==References==
==References==
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[[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]]
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Latest revision as of 20:46, 29 July 2020

Bursitis Microchapters

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Patient Information

Overview

Historical perspective

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Epidemiology and Demographics

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Directions to Hospitals Treating Bursitis

Risk calculators and risk factors for Bursitis MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

MRI is not often required in patients with bursitis. Due to the requisite cost and time input, the use of MRI is limited compared to ultrasound. MRI is often reserved for patients for whom there is reason to suspect the presence of other medical conditions such as tumors, ligamentous injures, and tendon injuries. On MRI, bursitis is characterized by bursal fluid collection, subcutaneous edema, and joint effusion.[1][2]

MRI

MRI is not often required in patients with bursitis. MRI is usually reserved for patients for whom there is reason to suspect the presence of other medical conditions such as tumors, ligament injures, and tendon injuries.

On MRI, bursitis is characterized by:[1][2]

  • Bursal fluid collection
    • Hypointense on T1
    • Hyperintense on T2
    • Enhancement of bursal margins on (Gd)
  • Subcutaneous edema
  • Joint effusion
Type of Bursitis MRI Images
Subacromial bursitis[3]
  • Coronal T1

    Coronal T1

  • Coronal T2

    Coronal T2

  • Axial T2

    Axial T2

Olecranon bursitis[1]
  • Sagittal T2

    Sagittal T2

  • Sagittal PD FS

    Sagittal PD FS

  • Sagittal STRI

    Sagittal STRI

Trochanteric bursitis [4]
  • Axial T1

    Axial T1

  • STRI

    STRI

Prepatellar bursitis[2]
  • PD

    PD

Intermetatarsal bursitis[5]
  • Axial STRI

    Axial STRI

  • Coronal T2

    Coronal T2

  • Coronal T1

    Coronal T1

References

  1. ↑ 1.0 1.1 1.2 Radiopedia. Olecranon Bursitis. http://radiopaedia.org/articles/olecranon-bursitis Accessed on August 23, 2016
  2. ↑ 2.0 2.1 2.2 Radiopedia. Prepatellar Bursitis. http://radiopaedia.org/cases/prepatellar-bursitis-1 Accessed on August 23, 2016
  3. ↑ Radiopedia. Shoulder Bursitis. http://radiopaedia.org/cases/shoulder-bursitis Accessed on August 23, 2016
  4. ↑ Radiopedia. Trochontreic Bursitis. http://radiopaedia.org/cases/trochanteric-bursitis Accessed on August 23, 2016
  5. ↑ Radiopedia. Intermetatarsal Bursitis. http://radiopaedia.org/cases/intermetatarsal-bursitis Accessed on August 23, 2016


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