Bursitis — an inflammation of the bursa periarthric with the accumulation in its cavity effusion (exudate). Causes of bursitis are the most likely mechanical damage (bruises, chronic injury), less infection, metabolic impairments, intoxication, allergic reactions, autoimmune processes. Effusion, or exudate accumulating in the oral periarthric bursa may be serosal, purulent, or hemorrhagic nature.
In the field of shoulder bursitis most often develops in the subacromial bursa and subdeltovidnoy.
Leading symptom of bursitis is the emergence of local mobile-round in the joint, often painful on palpation and swelling movements in the area which is usually increased temperature. Inflammation periarthric bursa may violate (limit) the motor function of limbs (hard to bend and straighten knee, etc.). Downstream of the disease to distinguish between "acute bursitis" and "chronic bursitis".
Symptoms of bursitis depends on the characteristics of the structure and function of the joint, around which are located bursa.
In the shoulder most commonly affects the subacromial bursa and subdeltovidnaya. At this location bursitis accompanied by pain, increasing with abduction and rotation of the shoulder, such as laying hands behind his head. Sometimes these bags periarticular calcify calcium salts. The diagnosis in such cases is confirmed by X-ray examination of the joint. Bursitis of the shoulder joint may be a manifestation of humeroscapular periarthrosis.
Bursitis in the elbow joint is most often develop as a result of chronic injury in the course of professional activities or sports. Just bursitis in the elbow joint can be formed in the fall on the elbow with hemorrhage in polos bursa. Primarily affects subcutaneous bursa of the olecranon, rarely lucheplechevaya bag in the lateral epicondyl.
Bursitis is formed in the subcutaneous bursa of the olecranon, at least in bag with lateral epicondyle.
Diagnosis of bursitis at periarticular inflammation of the synovial bags located superficially, without difficulty - found painful, well-moving, well-limited rounded tumor formation, hot to the touch.
When serous inflammation palpation periarthric bags is reasonable, but at a purulent - a sharp pain. The deposition in the cavity of bags of salt (calcium, urate, etc.) palpated uneven education bone density. In chronic bursits a result of prolonged inflammation develops fibrosis capsule bursa, palpation determine tight formation, similar to scar tissue.
Clinical diagnosis of bursitis of deep-seated synovial bags based on a clear knowledge of their location and associated bursitis dysfunction surrounding muscles. For the diagnosis of bursitis of deep-seated, especially intermuscular, synovial bags require additional instrumental examination (radiography - arthrography, bursografiya).
In some cases, the differential diagnosis of bursitis, such as hemangioma, lipoma, perform angiography, ultrasound and radionukleidnoe study.
To clarify the nature of the exudate with bursitis produce puncture bursa with subsequent microbiological and immunological studies of the obtained material (punctate).
Elimination of swelling, inflammation, pain, restore range of motion in the treatment of bursitis knee accelerated by the use of physiotherapy.
Treatment of acute bursitis conservative. Typically, it is performed in an outpatient setting. In the first 5-7 days of rest is recommended, impose restraints in the joint Longuet, prescribe anti-inflammatory drugs. In some cases, the joint capsule is administered hormones (kenalog, diprospan, hydrocortisone) in combination with antibiotics. After the elimination of signs of acute inflammation prescribed alcohol packs at night, phonophoresis of hydrocortisone, conduct UHF therapy, ultraviolet irradiation.
Elimination of swelling, inflammation, pain, restore range of motion in the treatment of bursitis elbow accelerated by the use of physiotherapy.
In purulent bursits patients referred to a surgeon; shows puncture or surgery - opening bursa and removing the pus from the wound followed by treatment by the general rules of surgery. Chronic post-traumatic bursitis treated promptly because - due to the presence of blood in the cavity bursa, which is a favorable environment for the development of infection. For chronic post-traumatic bursits as possible relapses of the disease.
Type of surgery / manipulation
|Outpatient treatment of bursitis||4 000 rub.|
|Ligation, removal of drains, removal of sutures||500 rub.|
If you have any questions about the diagnosis or treatment of bursitis, you can check them at our trauma surgeon or by calling: +7 (926) 988-14-23
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