Bursitis physical examination: Difference between revisions

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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Type of Bursitis}}
! style="background: #4479BA; width: 450px;" | {{fontcolor|#FFF|Physical examination}}
! style="background: #4479BA; width: 450px;" | {{fontcolor|#FFF|Physical examination}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Test}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Maneuver}}
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|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Subacromial bursitis'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Subacromial bursitis'''
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*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
*Tenderness for palpation at the affected site
*Tenderness for palpation at the affected site
*Systematic inflammatory processes
**Fever
**Rheumatoid nodules
| 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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*Glenohumeral abduction (can be positive in bursitis and frozen shoulder which can occurred with bursitis )
*Glenohumeral abduction (can be positive in bursitis and frozen shoulder which can occurred with bursitis )
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''''[[Elbow bursitis]]'''''
| style="padding: 5px 5px; background: #DCDCDC;" | '''''[[Olecranon Bursitis]]'''''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*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
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**Fever
**Fever
**Rheumatoid nodules  
**Rheumatoid nodules  
| style="padding: 5px 5px; background: #F5F5F5;" |
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''''[[Hip bursitis]]'''''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Trochanteric bursitis.'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*
*Tenderness at superior and posterior of the greater trochanter aggravate by external rotation and abduction of the hip
*Weakness of the hip-abductors
| style="padding: 5px 5px; background: #F5F5F5;" |
*Ober's_Test (reduced range of motion was significant)
*Resistance test  (pain and tenderness with resisting at external rotation)
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''''[[Knee Bursitis]]'''''
| style="padding: 5px 5px; background: #DCDCDC;" | '''''[[Knee Bursitis]]'''''

Revision as of 14:33, 19 August 2016

Bursitis Microchapters

Home

Patient Information

Overview

Historical perspective

Classification

Pathophysiology

Causes

Differentiating Bursitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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X-rays
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NICE Guidance

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Blogs on Bursitis physical examination

Directions to Hospitals Treating Bursitis

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

Type of Bursitis Physical examination Maneuver
Subacromial bursitis
  • Redness at the affected site
  • Swelling and warmth
  • Stiffness in the shoulder joint
  • Reduced active range of motion (ROM) with decreased elevation, internal rotation and abduction
  • Tenderness for palpation at the affected site
  • Speed’s test (not specific)
  • Neer’s test (not specific)
  • Impingement test (doesn’t exclude the other medical conditions that can be confused with bursitis such as rotator cuff injury)
  • Empty beer can test (differentiate a bursitis from a supraspinatus tendinitis)
  • Glenohumeral abduction (can be positive in bursitis and frozen shoulder which can occurred with bursitis )
Olecranon Bursitis
  • Abrasion or contusion of skin (in a case of trauma)
  • Swelling, at the posterior elbow
  • Goose egg appearance over the olecranon process
  • Tenderness for palpation at the affected site
  • Systematic inflammatory processes
    • Fever
    • Rheumatoid nodules
Trochanteric bursitis.
  • Tenderness at superior and posterior of the greater trochanter aggravate by external rotation and abduction of the hip
  • Weakness of the hip-abductors
  • Ober's_Test (reduced range of motion was significant)
  • Resistance test (pain and tenderness with resisting at external rotation)
Knee Bursitis
Ankle bursitis
  • Tenderness at the back of heel
  • Swelling at the back of heel

References


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