Bursitis

A Bursitis is acute or chronic inflammation of a bursa. The cause is usually unknown, but repeated or acute trauma can just as infections or Kristallarthropathien contribute to this. Symptoms include pain (v. A. In motion or pressure), swelling and pain. The diagnosis is made clinically, except that a sonography may be necessary to clarify deep bursae. The diagnosis of infection and Kristallarthropathien make a puncture and analysis of the bursa fluid necessary. The therapy consists of splinting, NSAIDs, sometimes corticosteroid injections and the treatment of the underlying cause.

Bursa are liquid-filled sac-like cavities or potential cavities that are located where friction occurs (for. Example, where tendons and muscles over bony prominences run). Bursa minimize friction between moving structures and facilitate movement. Some are connected with joints.

A Bursitis is acute or chronic inflammation of a bursa. The cause is usually unknown, but repeated or acute trauma can just as infections or Kristallarthropathien contribute to this. Symptoms include pain (v. A. In motion or pressure), swelling and pain. The diagnosis is made clinically, except that a sonography may be necessary to clarify deep bursae. The diagnosis of infection and Kristallarthropathien make a puncture and analysis of the bursa fluid necessary. The therapy consists of splinting, NSAIDs, sometimes corticosteroid injections and the treatment of the underlying cause. Bursa are liquid-filled sac-like cavities or potential cavities that are located where friction occurs (for. Example, where tendons and muscles over bony prominences run). Bursa minimize friction between moving structures and facilitate movement. Some are connected with joints. Bursitis may occur in the shoulder region (subacromial or subdeltoidale bursitis), especially in patients with tendinitis of the rotator cuff, which usually represents the first lesion in the shoulder. Other commonly affected bursa are the olecranon (miners’ or tippler elbow), präpatellar (maids knee) or suprapatellar, between the Achilles tendon and the heel bone, iliopektinal (Iliopsoassehne), ischial (tailor’s or weaver buttocks), the greater trochanter, on pes and on the first metatarsal localized. The bursitis may occasionally also lead to inflammation of the adjacent joint. Etiology A bursitis can be caused by: Trauma chronic congestion inflammatory arthritis (eg, gout, RA.) Acute or chronic infections (eg with pyogenic bacteria, especially Staphylococcus aureus.) Idiopathic and traumatic causes are most common by far. Acute bursitis may follow unusual stress or strain and usually leads to a bursal effusion. The präpatellaren and the bursa of the olecranon are the most commonly infected bursa. Chronic bursitis develops after previous attacks of bursitis or repeated trauma. The wall of the bursa is thickened, with a proliferation of synovial cells; it can arise adhesions, Villi, sacs and kalkähnliche deposits. Symptoms and signs Acute bursitis causes pain, especially if the bursa is compressed or stretched during movement. A swelling, sometimes with other signs of inflammation, is common when the bursa is superficial (z. B. präpatellar or at the olecranon). When bursitis of the olecranon swelling may be more in the foreground than the pain. The crystal-induced or bacterial form of bursitis is usually accompanied by erythema, edema, pain and warmth in the area over the bursa. Chronic bursitis can last for several months and frequently recur. The episodes can last from several days to several weeks. If the inflammation persists close to a joint, the mobility of the joint may be limited. A longer restricting the Beweglickkeit can lead to muscle atrophy. Diagnosis Clinical evaluation sonography or MRI at low bursitis Aspiration for suspected infection or crystal-induced bursitis A superficial bursitis should be suspected when a swelling or inflammation via a Bursa exist. A deep bursitis should be suspected in patients with unexplained pain aggravated by movement, at a location that is compatible with a Busitits. Usually the diagnosis of bursitis can be made clinically. Ultrasound or MRI can help confirm the diagnosis when deep bursae for an inspection, palpation or aspiration are not easily accessible. These tests will be done to confirm a diagnosis or rule out other possibilities. The imaging techniques increase the accuracy in the identification of the affected structures. For particularly painful swelling, redness, warmth, or if the olecranon bursa or präpatellare are concerned, an infection or form of crystal should be excluded by aspiration of the bursa. After injection of a local anesthetic it is derived from the bursa fluid under sterile conditions. The analysis involves determining the number of cells, a Gram stain as well as the creation of cultures and microscopic Search crystals. The Gram stain, although helpful, may not be specific, and the white blood cell count in infected bursae is lower than in septic joints generally. Urate crystals are easy to detect in polarized light, but the apatite crystals, which are typical of a calcifying tendinitis, are only seen as a transparent chunks that are not birefringent. If the bursitis persists or calcification is suspected, x-rays should be taken. Präpatellare bursitis With permission of the publisher. For example, Gilliland, Wener M .: Atlas of Infectious Diseases: Skin, Soft Tissue, Bone and Joint Infections. Edited by G. L. Mandell (series editors) and T.P. Bleck. Philadelphia, Current Medicine, 1995. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/prepatellar_bursitis_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – / media / manual / professional / images / prepatellar_bursitis_high_de.jpg lang = en & thn = 0 ‘, title:’? Präpatellare bursitis ‘description:’ u003Ca id = “v37892788 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eAnzeichen acute inflammation can be seen in and around the left knee joint. In some patients with septic bursitis a skin infection is present

Health Life Media Team

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