Bone & joints

Other nonneoplastic

Bursitis



Last author update: 1 December 2012
Last staff update: 10 December 2021

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PubMed Search: Bursitis [title] joints

Vijay Shankar, M.D.
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Cite this page: Shankar V. Bursitis. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/jointsbursitis.html. Accessed January 28th, 2023.
Definition / general
  • Pain, erythema, swelling around bursae that lie between muscles, tendons and bony prominences
  • Usually due to chronic trauma (professional athletes in shoulders, pre and infrapatellar bursae of those who kneel); rheumatoid arthritis
  • Rarely associated with infection, gout
  • Associated with cysts, fluid and loose bodies
  • Chronically inflamed bursa may develop extensive calcification
  • Subdeltoid bursitis: degeneration of muscle / tendon in shoulder rotator cuff, followed by deposition of calcium in necrotic collagenous tissue, which stimulates inflammatory reaction
Clinical features
  • Common sites: shoulder, knee, elbow and hip
  • Infrequent sites: interspinous, ischio gluteal, retrocalcaneal
Case reports
Treatment
  • Varies based on cause of bursitis and changes in bursa
  • Includes aspiration, antibiotic irrigation, incision and drainage (for abscess), excision (for thickened bursa)
Clinical images

Images hosted on other servers:

Elbow

Gross description
  • Thickened, erythematous and shaggy bursal wall with fibrinous exudates
Microscopic (histologic) description
  • Chronic inflammation, scarring
Videos

Elbow: chronic fibrinous bursitis

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