Bursitis differential diagnosis

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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]

Differentiating Conjunctivitis from other Diseases

Bursitis must be differentiated from:

• Tendonitis
• Cellulitis
• Osteoarthritis
• Gout and Pseudogout
• Rheumatoid Arthritis (RA)
• Septic arthritis
• Ligamentous injury
• Fracture

Anatomic location

Based on anatomic location, bursitis must be differentiated from:

Type of Bursitis	Differential diagnosis
Subacromial bursitis	Rotator cuff tendinitis Supraspinatus tendinitis Bicipital tendinitis Frozen shoulder or adhesive capsulitis Rotator cuff tears
Olecranon bursitis	Triceps tendinitis Olecranon spur Gout and Pseudogout Fracture of the olecranon process of the ulna Synovial cyst of the elbow joint Lipoma
Trochanteric bursitis	Femur Injuries and fractures Femoral neck stress fracture Femoral head avascular necrosis Lumbar disk Problems Sacroiliac Joint Injury Hamstring Injury Iliopsoas tendinitis Lumbar and lumbosacral disk injuries Lumbosacral radiculopathy Lumbosacral spine strain or sprain Spondylolisthesis
Prepatellar bursitis	Meniscal tear Spontaneous osteonecrosis Tumors Proximal tibia stress fracture Medial Collateral Ligament and Lateral Collateral Ligament|[Lateral collateral ligament|Lateral Collateral Ligament Injury [Posterior Cruciate Ligament|[Posterior Cruciate Ligament Injury]] Osteoarthritis Rheumatoid Arthritis (RF)
Retrocalcaneal bursitis	Achilles tendonitis Tendon rupture Plantar fasciitis Tumors (such as intraosseous lipoma)

Elbow bursitis must be differentiated from:

• Triceps tendinitis
• Olecranon spur
• Gout and Pseudogout
• Fracture of the olecranon process of the ulna
• Synovial cyst of the elbow joint
• Lipoma

Shoulder bursitis must be differentiated from:

• Tendonitis
• Frozen shoulder or adhesive capsulitis
• Rotator cuff tears

Knee bursitis must be differentiated from:

• Meniscal tear
• Spontaneous osteonecrosis
• Tumors
• Proximal tibia stress fracture
• Medial Collateral Ligament and Lateral Collateral Ligament Injury
• Osteoarthritis
• Rheumatoid Arthritis (RF)

Hip bursitis must be differentiated from:

• Femur Injuries and fractures
• Femoral neck stress fracture
• Femoral head avascular necrosis
• Lumbar disk Problems
• Sacroiliac Joint Injury
• Hamstring Injury
• Iliopsoas tendinitis
• Lumbar and lumbosacral disk injuries
• Lumbosacral radiculopathy
• Lumbosacral spine strain or sprain
• Spondylolisthesis

Ankle bursitis must be differentiated from:

• Achilles tendonitis
• Tendon rupture
• Plantar fasciitis
• Tumors (such as intraosseous lipoma)

References

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