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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Bursitis causes acute pain over the lateral side of the hip and proximal thigh that usually radiates distally and may cause swelling. The pain is often worsened by sitting. Trochanteric bursitis may be one of the presenting features of PMR.
Bursitis
Published in Charles Theisler, Adjuvant Medical Care, 2023
Vitamin B12: Thirty-six patients with bursitis were treated with vitamin B12 injections (1,000 mcg) given intramuscularly each day for 7 to 10 days. This was followed by injections three times a week for two to three weeks, then once or twice a week for two to three weeks. More than 90% of the patients reported pain relief. Complete relief was often noted within several days.3,4
Septic Bursitis
Published in Firza Alexander Gronthoud, Practical Clinical Microbiology and Infectious Diseases, 2020
Bursitis is the term used to describe inflammation of a bursa. Bursae are fluid-filled sacs lined by synovial tissue and filled with synovial fluid, located at points of friction between bone and surrounding soft tissue. Their function is to cushion and decrease friction between these surfaces during movement to allow your joints to move with ease. There are over 150 such bursae in the body and they are located both superficially (in the subcutaneous tissue) and deep (below the fascia). Commonly affected superficial sites include the olecranon, prepatellar and infrapatellar bursae. Deep sites are less affected and include the iliopsoas, popliteal and subacromial as examples. When bursitis is present, the inflamed sac impairs movement and results in local pain, tenderness and swelling. Septic, or infectious, bursitis is less common than non-septic bursitis in causing this inflammation.
Bilateral ultrasound findings in patients with unilateral subacromial pain syndrome
Published in Physiotherapy Theory and Practice, 2022
Anna Eliason, Marita Harringe, Björn Engström, Kerstin Sunding, Suzanne Werner
Despite the fact that bursitis and PTTs were more evident in the affected shoulder, abnormalities were found in almost 90% of the patients´ asymptomatic shoulder. This high rate is in concert with a detailed description of US findings in asymptomatic shoulders in males (Girish et al., 2011). They reported abnormalities in 96% of their patients with the most common finding being bursal thickening. This is similar to the present study, where bursitis was shown in 90% of the symptomatic shoulder and 74% of the asymptomatic shoulder. The subacromial bursa has been suggested to play a key role when it comes to generate pain in patients with SAPS (Chillemi et al., 2016; Rahme, Nordgren, Hamberg, and Westerberg, 1993). Although, yet not proven, presence of neovascularity has been mentioned as another theory of pain (Lewis et al., 2009).
Predicting the risk of relapse in polymyalgia rheumatica: novel insights
Published in Expert Review of Clinical Immunology, 2021
Diana Prieto-Peña, Santos Castañeda, Belén Atienza-Mateo, Ricardo Blanco, Miguel A. González-Gay
Polymyalgia rheumatica (PMR) is a common inflammatory disease in people over 50 years of age of Northern European descent [1,2,3]. It is characterized by severe pain affecting the shoulder girdle and proximal arms bilaterally. Pain and stiffness involving both the neck and the pelvic girdle, and the proximal thighs are also common. Patients complain of morning stiffness, which generally lasts for more than 45 to 60 minutes. The onset of symptoms usually begins abruptly, usually within a few days [1][61][62]. In some cases, symptoms get worse in the morning and progressively improve during the day. Pain and stiffness worsen after rest or when the patient is inactive for a long period [1]. Activities of daily living, such as dressing, or getting out of a chair, cause severe pain in the patients. Pain at night, malaise, fatigue, low-grade fever, anorexia, and weight loss are not uncommon [1]. Physical examination shows that the active motion of the shoulders is limited because of pain. It may also be observed when the motion of the neck or the hips is elicited. Loss of strength is not common but pain to palpation of the muscles may be observed. Bursitis and synovitis in the affected areas appear to be the reason for the musculoskeletal symptoms [2]. Laboratory findings are not specific. In most cases, patients have elevated acute-phase reactants, such as erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) [1,2]. Mild anemia and thrombocytosis may also be found. However, patients showing low elevation of acute-phase reactants or even normal values of ESR have been described [4,5].
The lateral arm flap for reconstruction of tissue defects due to olecranon bursitis
Published in Journal of Plastic Surgery and Hand Surgery, 2018
Paul I. Heidekrueger, Camillo Mueller, Aung Thiha, Denis Ehrl, Fabian Weinschenk, Frank Herter, Milomir Ninkovic, Lukas Prantl
Patient 10 (Figure 3a–d): A 79-years-old male patient who developed a chronic bursitis after he fell on his right elbow. After bursectomy and a cycle of VAC therapy of four days secondary closure was performed by a local transposition flap. Six weeks later, he again showed signs of a bursitis and received several debridements and VAC treatment. After 13 surgical procedures he was referred to our department and presented with a large soft tissue and bone defect of the olecranon (Figure 3a). A reversed pedicled myocutaneous LAF (size 15 × 5 cm) was raised including portions of the triceps muscle to fill up the bone defect and reconstruct the soft tissue of the posterior elbow (Figure 3b). The flap was delivered through a subcutaneous tunnel. Primary closure of the donor wound was achieved without tension. The wound healed without complications. The patient resumed complete use of the elbow (Figure 3c and d).