Bursitis physical examination

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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]

Physical examination

Type of Bursitis	Physical examination	Maneuver
Subacromial bursitis	Redness over the joint Swelling and warmth Stiffness of the joint Tender on palpation at lateral or anterior shoulder Reduced active range of motion (ROM) with decreased elevation, internal rotation and abduction	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 lateral hip, aggravated by active and passive external rotation and abduction Lateral hip pain on direct palpation Weakness of the hip-abductors	Ober's_Test (reduced range of motion was significant) Resistance test (pain and tenderness with resisting at external rotation)
Prepatellar bursitis	Erythema at the affected site (knee) Ususally very large swelling over the knee Tenderness aggravated by bending and stretching the knee Reduced active range of motion (ROM)
Retrocalcaneal bursitis	Swelling at the back of heel Tenderness at the back of heel Painful ankle dorsiflexion

References

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