Bursitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with bursitis is usually remarkable for [[redness]], [[swelling]], reduced [[range of motion]], and warmth over the involved [[joint]]. However, physical examination vary based on bursitis | Physical examination of patients with bursitis is usually remarkable for [[redness]], [[swelling]], reduced [[range of motion]], and warmth over the involved [[joint]]. However, physical examination findings may vary based on the particular bursitis subtype. | ||
==Physical examination== | ==Physical examination== | ||
Physical examination of patients with bursitis is usually remarkable for [[redness]], [[swelling]], reduced [[range of motion]], and warmth over the involved [[joint]]. However, physical examination findings may vary based on the particular bursitis subtype. | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Subacromial bursitis'''<ref name=bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.</ref> | | style="padding: 5px 5px; background: #DCDCDC;" | '''Subacromial bursitis'''<ref name=bursitis-upper-limb> Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Redness, swelling, and warmth over the shoulder | *[[Redness]], [[swelling]], and warmth over the shoulder | ||
*Shoulder stiffness | *Shoulder stiffness | ||
*Lateral or anterior shoulder tenderness on palpation | *Lateral or anterior shoulder [[tenderness]] on palpation | ||
*Reduced active range of motion (ROM) with decreased elevation, internal rotation and abduction | *Reduced active [[range of motion]] (ROM) with decreased elevation, internal rotation and abduction | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Speed’s test (not specific) | *Speed’s test (not specific) | ||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Olecranon bursitis'''<ref name="pmid8894865">{{cite journal| author=Stell IM| title=Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management. | journal=J Accid Emerg Med | year= 1996 | volume= 13 | issue= 5 | pages= 351-3 | pmid=8894865 | doi= | pmc=1342774 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8894865 }} </ref><ref name="pmid21075998">{{cite journal| author=Lockman L| title=Treating nonseptic olecranon bursitis: a 3-step technique. | journal=Can Fam Physician | year= 2010 | volume= 56 | issue= 11 | pages= 1157 | pmid=21075998 | doi= | pmc=2980436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21075998 }} </ref> | | style="padding: 5px 5px; background: #DCDCDC;" | '''Olecranon bursitis'''<ref name="pmid8894865">{{cite journal| author=Stell IM| title=Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management. | journal=J Accid Emerg Med | year= 1996 | volume= 13 | issue= 5 | pages= 351-3 | pmid=8894865 | doi= | pmc=1342774 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8894865 }} </ref><ref name="pmid21075998">{{cite journal| author=Lockman L| title=Treating nonseptic olecranon bursitis: a 3-step technique. | journal=Can Fam Physician | year= 2010 | volume= 56 | issue= 11 | pages= 1157 | pmid=21075998 | doi= | pmc=2980436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21075998 }} </ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Abrasion or contusion of skin (in a case of trauma) | *[[Abrasion]] or [[contusion]] of skin (in a case of trauma) | ||
*Swelling, at the posterior elbow | *[[Swelling]], at the posterior elbow | ||
*Goose egg appearance over the olecranon process | *Goose egg appearance over the olecranon process | ||
*Tenderness for palpation at the affected site | *[[Tenderness]] for palpation at the affected site | ||
* | *Systemic inflammatory processes | ||
**Fever | **[[Fever]] | ||
**Rheumatoid nodules | **[[Rheumatoid nodules]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Trochanteric bursitis'''<ref name="pmid17880718">{{cite journal| author=Brinks A, van Rijn RM, Bohnen AM, Slee GL, Verhaar JA, Koes BW et al.| title=Effect of corticosteroid injection for trochanter pain syndrome: design of a randomised clinical trial in general practice. | journal=BMC Musculoskelet Disord | year= 2007 | volume= 8 | issue= | pages= 95 | pmid=17880718 | doi=10.1186/1471-2474-8-95 | pmc=2045096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17880718 }} </ref><ref name="pmid4055877">{{cite journal| author=Karpinski MR, Piggott H| title=Greater trochanteric pain syndrome. A report of 15 cases. | journal=J Bone Joint Surg Br | year= 1985 | volume= 67 | issue= 5 | pages= 762-3 | pmid=4055877 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4055877 }} </ref> | | style="padding: 5px 5px; background: #DCDCDC;" | '''Trochanteric bursitis'''<ref name="pmid17880718">{{cite journal| author=Brinks A, van Rijn RM, Bohnen AM, Slee GL, Verhaar JA, Koes BW et al.| title=Effect of corticosteroid injection for trochanter pain syndrome: design of a randomised clinical trial in general practice. | journal=BMC Musculoskelet Disord | year= 2007 | volume= 8 | issue= | pages= 95 | pmid=17880718 | doi=10.1186/1471-2474-8-95 | pmc=2045096 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17880718 }} </ref><ref name="pmid4055877">{{cite journal| author=Karpinski MR, Piggott H| title=Greater trochanteric pain syndrome. A report of 15 cases. | journal=J Bone Joint Surg Br | year= 1985 | volume= 67 | issue= 5 | pages= 762-3 | pmid=4055877 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4055877 }} </ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Tenderness at lateral hip, aggravated by active and passive external rotation and abduction | *[[Tenderness]] at lateral hip, aggravated by active and passive external rotation and abduction | ||
*Lateral hip pain on direct palpation | *Lateral hip pain on direct palpation | ||
*Weakness of the hip-abductors | *Weakness of the hip-abductors | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Ober' | *Ober's Test (reduced [[range of motion]] was significant) | ||
*Resistance test (pain and tenderness with resisting at external rotation) | *Resistance test (pain and tenderness with resisting at external rotation) | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Prepatellar bursitis'''<ref name=Bursitis-four-types> Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.</ref><ref name=Prepatellar-Bursitis> Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.</ref> | | style="padding: 5px 5px; background: #DCDCDC;" | '''Prepatellar bursitis'''<ref name=Bursitis-four-types> Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.</ref><ref name=Prepatellar-Bursitis> Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Erythema at the affected site (knee) | *[[Erythema]] at the affected site (knee) | ||
*Ususally very large swelling over the knee | *Ususally very large swelling over the knee | ||
*Tenderness aggravated by bending and stretching the knee | *[[Tenderness]] aggravated by bending and stretching the knee | ||
*Reduced active range of motion (ROM) | *Reduced active [[range of motion]] (ROM) | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Retrocalcaneal bursitis'''<ref name=Harrison-rheumatology> Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref><ref name=Achilles-tendon> Lyman, Jeffrey, Paul S. Weinhold, and Louis C. Almekinders. "Strain behavior of the distal Achilles tendon implications for insertional Achilles tendinopathy." The American Journal of Sports Medicine 32.2 (2004): 457-461.</ref> | | style="padding: 5px 5px; background: #DCDCDC;" | '''Retrocalcaneal bursitis'''<ref name=Harrison-rheumatology> Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.</ref><ref name=Achilles-tendon> Lyman, Jeffrey, Paul S. Weinhold, and Louis C. Almekinders. "Strain behavior of the distal Achilles tendon implications for insertional Achilles tendinopathy." The American Journal of Sports Medicine 32.2 (2004): 457-461.</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Swelling at the back of heel | *[[Swelling]] at the back of heel | ||
*Tenderness at the back of heel | *[[Tenderness]] at the back of heel | ||
*Painful ankle dorsiflexion | *Painful ankle [[dorsiflexion]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
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Image:Bursitis_Elbow_WC.JPG|Olecranon bursitis<ref> Wikipedia.Prepatellar bursitis. https://en.wikipedia.org/wiki/Bursitis#/media/File:Bursitis_Elbow_WC.JPG Accessed on August 25, 2016</red> | Image:Bursitis_Elbow_WC.JPG|Olecranon bursitis<ref> Wikipedia.Prepatellar bursitis. https://en.wikipedia.org/wiki/Bursitis#/media/File:Bursitis_Elbow_WC.JPG Accessed on August 25, 2016</red> | ||
Image:Slijmbeursontsteking in de elleboog.jpg|Olecranon bursitis</gallery> | Image:Slijmbeursontsteking in de elleboog.jpg|Olecranon bursitis</gallery> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Rheumatology]] | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:46, 29 July 2020
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Bursitis physical examination On the Web |
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Risk calculators and risk factors for Bursitis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Physical examination of patients with bursitis is usually remarkable for redness, swelling, reduced range of motion, and warmth over the involved joint. However, physical examination findings may vary based on the particular bursitis subtype.
Physical examination
Physical examination of patients with bursitis is usually remarkable for redness, swelling, reduced range of motion, and warmth over the involved joint. However, physical examination findings may vary based on the particular bursitis subtype.
| Type of Bursitis | Physical examination | Maneuver |
|---|---|---|
| Subacromial bursitis[1] |
|
|
| Olecranon bursitis[2][3] |
|
|
| Trochanteric bursitis[4][5] |
|
|
| Prepatellar bursitis[6][7] |
|
|
| Retrocalcaneal bursitis[8][9] |
|
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Prepatellar bursitis<ref> Wikipedia.Prepatellar bursitis. https://en.wikipedia.org/wiki/Prepatellar_bursitis#/media/File:Prepatellar_bursitis.JPG Accessed on August 25, 2016</red>
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Prepatellar bursitis
-
Olecranon bursitis<ref> Wikipedia.Prepatellar bursitis. https://en.wikipedia.org/wiki/Bursitis#/media/File:Bursitis_Elbow_WC.JPG Accessed on August 25, 2016</red>
-
Olecranon bursitis
References
- ↑ Walker‐Bone, Karen, et al. "Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
- ↑ Stell IM (1996). "Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management". J Accid Emerg Med. 13 (5): 351–3. PMC 1342774. PMID 8894865.
- ↑ Lockman L (2010). "Treating nonseptic olecranon bursitis: a 3-step technique". Can Fam Physician. 56 (11): 1157. PMC 2980436. PMID 21075998.
- ↑ Brinks A, van Rijn RM, Bohnen AM, Slee GL, Verhaar JA, Koes BW; et al. (2007). "Effect of corticosteroid injection for trochanter pain syndrome: design of a randomised clinical trial in general practice". BMC Musculoskelet Disord. 8: 95. doi:10.1186/1471-2474-8-95. PMC 2045096. PMID 17880718.
- ↑ Karpinski MR, Piggott H (1985). "Greater trochanteric pain syndrome. A report of 15 cases". J Bone Joint Surg Br. 67 (5): 762–3. PMID 4055877.
- ↑ Aaron, Daniel L., et al. "Four common types of bursitis: diagnosis and management." Journal of the American Academy of Orthopaedic Surgeons 19.6 (2011): 359-367.
- ↑ Huang, Yu-Chih, and Wen-Lin Yeh. "Endoscopic treatment of prepatellar bursitis." International orthopaedics 35.3 (2011): 355-358.
- ↑ Fauci, Anthony S., and Carol Langford. Harrison's rheumatology. McGraw Hill Professional, 2010.
- ↑ Lyman, Jeffrey, Paul S. Weinhold, and Louis C. Almekinders. "Strain behavior of the distal Achilles tendon implications for insertional Achilles tendinopathy." The American Journal of Sports Medicine 32.2 (2004): 457-461.