Is This Bursitis?

Discussion Bursa are the body’s bumper pads for tendons. They are a small synovial fluid-filled sac that lies between tendon and a bone or skin. There are more than 150 of them in the body. With bursitis there can be thickening and proliferation of the synovial lining, bursal adhesions, chalky deposits and villus formation. Trauma, repetitive stress, infection and autoimmune usually are the reasons for bursitis but idiopathic etiology also occurs. The differential diagnosis includes infection, arthritis, tendonitis, tendon or ligament injury, fracture or neoplasm. The usual signs and symptoms are localized pain and tenderness over a bursa, and if the bursa is superficial edema can be seen. Other specific signs and symptoms occur because of location. Bursitis is described as septic or aseptic and acute vs. chronic. Recurrence is common in certain locations such as the olecranon. Learning Point Olecranon bursitis (OB) is sometimes called “student’s elbow” or “miner’s elbow” because of the association with these occupations and the obvious repetitive stress to the elbow that can occur. The incidence is not known but it is more common in males aged 30-60 years. Septic OB is more often caused by common skin pathogens of Staphylococcus aureus and Staphylococcus epidermidis (90%) and Streptococcus (9%). Aseptic OB is caused by idiopathic, trauma or crystal-inducing disease processes such as gout. The olecranon bursa forms after age 7. It is...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news