Bursitis: Difference between revisions
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* The causes are not exactly known, | * The causes are not exactly known, | ||
* the share of mechanical factors (overload, direct pressure on the stock exchange) is assumed, | * the share of mechanical factors (overload, direct pressure on the stock exchange) is assumed, | ||
* infectious bursitis is most often caused by ''Staphylococcus aureus'' + more often in immunodeficient ( | * infectious bursitis is most often caused by ''Staphylococcus aureus'' + more often in immunodeficient patients (diabetes mellitus, rheumatoid arthritis, alcoholism, etc.). | ||
=== Classification === | === Classification === | ||
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=== Diagnosis === | === Diagnosis === | ||
* | * Simple for superficial bursitis x deeper localizations + more complicated when the neighboring tendons are affected, | ||
* '''clinical picture''': pain , painful movement, dysfunction, redness, palpable pain + fluid fluctuations, | * '''clinical picture''': pain, painful movement, dysfunction, redness, palpable pain + fluid fluctuations, | ||
* temperature + increase in inflammatory markers (septic bursitis), puncture of the inflamed bursa + aspiration of effusion, | * temperature + increase in inflammatory markers (septic bursitis), puncture of the inflamed bursa + aspiration of effusion, | ||
* deep stock market we prove | * deep stock market we prove by ultrasound, CT or MRI. | ||
=== Therapy === | === Therapy === | ||
* ''Acute aseptic bursitis:'' puncture + local application of corticoids, | * ''Acute aseptic bursitis:'' puncture + local application of corticoids, non-opioid analgesics locally / general; after managing acute inflammation physiotherapy; persistent / extensive bursitis → extirpation of an inflamed, often hypertrophic bursae, | ||
* ''septic bursitis:'' corticoids should not be used; after puncture of purulent / severely turbid effusion, use | * ''septic bursitis:'' corticoids should not be used; after puncture of purulent / severely turbid effusion, use antibiotics orally or intravenously; local anti-inflammatory bandages; in failure of the conservative therapy, chronic recurrent bursitis or infection caused by resistant microorganisms - surgical treatment. | ||
== Links == | == Links == | ||
Revision as of 18:52, 16 December 2021
Bursitis is an inflammatory disease of the weight sacs around the joints and tendons; belongs to the group of extra-articular rheumatism.
Pathogenesis
- The causes are not exactly known,
- the share of mechanical factors (overload, direct pressure on the stock exchange) is assumed,
- infectious bursitis is most often caused by Staphylococcus aureus + more often in immunodeficient patients (diabetes mellitus, rheumatoid arthritis, alcoholism, etc.).
Classification
- aseptic bursitis,
- infectious (septic) bursitis (more often non-specific).
Diagnosis
- Simple for superficial bursitis x deeper localizations + more complicated when the neighboring tendons are affected,
- clinical picture: pain, painful movement, dysfunction, redness, palpable pain + fluid fluctuations,
- temperature + increase in inflammatory markers (septic bursitis), puncture of the inflamed bursa + aspiration of effusion,
- deep stock market we prove by ultrasound, CT or MRI.
Therapy
- Acute aseptic bursitis: puncture + local application of corticoids, non-opioid analgesics locally / general; after managing acute inflammation physiotherapy; persistent / extensive bursitis → extirpation of an inflamed, often hypertrophic bursae,
- septic bursitis: corticoids should not be used; after puncture of purulent / severely turbid effusion, use antibiotics orally or intravenously; local anti-inflammatory bandages; in failure of the conservative therapy, chronic recurrent bursitis or infection caused by resistant microorganisms - surgical treatment.
Links
Sources
- GALLO, Jiří, et al. Ortopedie pro studenty lékařských a zdravotnických fakult. 1. vydání. Olomouc : Univerzita Palackého v Olomouci, 2011. ISBN 978-80-244-2486-6.
