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]

Overview

Bursitis symptoms and signs are relatively non-specific. Even after detailed history and physical examination, imaging studies are often necessary to rule out other musculoskeletal conditions. Bursitis must be differentiated from tendonitis, cellulitis, osteoarthritis, ligamentous injuries, and septic arthritis.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.

Differentiating Bursitis 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 Injury Posterior cruciate ligament injury Osteoarthritis Rheumatoid Arthritis (RF)
Retrocalcaneal bursitis	Achilles tendonitis Posterior ankle impingment Haglund deformity Tendon rupture Plantar fasciitis

References

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