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At least 127 records · Page 7Linked to original sources
PubMed1998

[Ultrasound diagnosis of iliopectineal bursitis--contribution to differential diagnosis of leg swelling].

PURPOSE: To describe the pathognomic sonographic morphology of iliopectineal bursitis as a contribution to the differential diagnosis of leg swelling. METHODS: Characterization of the enlarged iliopectineal bursa by sonography (including CCDS) (n = 6) and comparison with CT (n = 4) and MRI findings (n = 1). RESULTS: There were 6 enlarged iliopectineal bursas in 5 female patients which exhibited an elongated oval form and were typically located in the groin region lateral and dorsal of the vessels and in the pelvis lateral to the iliac vessels. On sonography, cystic structures with echo-free contents (n = 1) in arthrosis, homogeneous echoic contents (n = 3) in abrasive reactions after hip TEP, and with inhomogeneous, pseudo-tumorous contents (n = 2) in PCP. CONCLUSIONS: Sonography enables the reliable diagnosis of an iliopectineal bursitis by means of its elongated oval from and extension from the groin region in continuity to the pelvis with medial displacement of the femoral and iliac vessels. It can thus help to avoid unnecessary operations or biopsies. In cases of doubt, use of CT or MRT enables a certain anatomical assignment.

Aged↗
PubMedDate not supplied

[Bursitis calcarea--an often overlooked and falsely diagnosed illness of the hand].

OBJECTIVE: To compare surgical and conservative management in patients with acute calcific bursitis of the hand, a rare condition often misdiagnosed because of its unspecific symptoms. METHOD: Four patients with calcific bursitis at the metacarpophalangeal or distal interphalangeal joints or the pisiform are presented. Of these, 3 underwent surgery, while one was treated conservatively. Clinical and radiological symptoms and signs are described. RESULTS: The 3 patients treated surgically returned to work on the 10th postoperative day, while the patient who refused surgery needed rehabilitation for 4 weeks. CONCLUSION: Surgery to remove the calcium deposits enables patients to resume work earlier than after conservative treatment which may take weeks.

Acute Disease↗
PubMed1993

Ischiogluteal bursitis in cancer patients: an infrequently recognized cause of pain.

We report eight patients with metastatic malignancy who developed severe back and leg pain caused by ischiogluteal bursitis. Careful evaluation excluded the possibility of bony metastases. Ischiogluteal bursitis is an easily diagnosed condition that can be effectively treated with local injection of corticosteroids. Recognition of this disorder will allow prompt therapy and unnecessary evaluation expenses.

Adrenal Cortex Hormones↗
PubMed2002

Free anterolateral thigh fasciocutaneous flap with a fat/fascia extension for reconstruction of tendon gliding surface in severe bursitis of the dorsal hand.

A 72-year-old man had severe bursitis in his left dorsal hand after resection of a ganglion twisted around the extensor tendons. After resection of the bursa, a free anterolateral thigh fascial flap with a skin island was used to fill the dead space and to reconstruct a two-layer gliding surface of the extensor tendons. The extensor tendons were wrapped in the fascial flap with the fat layer inside. The flap took completely and the patient was free of bursitis without loss of range of finger motion.

Aged↗
PubMed2001

Intermetatarsophalangeal bursitis induced by a plantar epidermal cyst.

A 44-year-old woman was admitted to the authors' institution for evaluation of two masses in the right forefoot. Standard radiographs showed foci of calcification within the mass. Magnetic resonance imaging and macroscopic findings during surgery revealed the lesion was composed mainly of two different portions: dorsal cystic masses and a solid mass in the plantar side of the fifth metatarsal head. Histologic and immunohistochemical examinations showed that the former was an intermetatarsophalangeal bursitis induced by keratinous material, whereas the latter was a ruptured epidermal cyst. To the best of the authors' knowledge, the current case is the first report of intermetatarsophalangeal bursitis caused by an untreated epidermal cyst.

Adult↗
PubMedDate not supplied

Chronic bursitis presenting as a mass in the pes anserine bursa: MR diagnosis.

A case of chronic, nonspecific synovial inflammation presenting as a mass in the pes anserine bursa is demonstrated by MRI. The lesion was well demarcated and surrounded by a low intensity rim. On spin echo images it was homogeneous and of intermediate signal intensity, whereas on T2-weighted images it showed scattered areas of high signal producing a heterogeneous pattern. It is contrasted with a typical example of acute pes anserine bursitis, presenting as simple fluid within the bursa. The differential considerations vary accordingly between the acute and chronic forms of pes anserine bursitis, with the latter requiring differentiation from other forms of synovitis, synovial hemangioma, and synovial sarcoma. The MR features of these entities are reviewed as an aid in differential diagnosis.

Bursa, Synovial↗
PubMedDate not supplied

Iliopsoas bursitis: diagnosis by MRI.

Iliopsoas bursitis is an unusual cause of hip pain. The condition may be due to athletic activity or may be secondary to a variety of inflammatory etiologies. An understanding of the anatomy and biomechanics of this structure is necessary to ensure prompt and appropriate radiologic diagnosis and clinical treatment. We report two cases of iliopsoas bursitis diagnosed with MRI and review the anatomy, pathophysiology, and treatment of this condition.

Adrenal Cortex Hormones↗
PubMedDate not supplied

Clinical and imaging features of distended scapulothoracic bursitis: spontaneously regressed pseudotumoral lesion.

OBJECTIVE: To describe clinical and imaging findings of distended scapulothoracic bursitis without scapular snapping, which is often confused with a soft tissue tumor. METHODS: Nine patients (6 male, 3 female; age range: 50-73 years; mean age = 67 years) with distended scapulothoracic bursitis diagnosed by clinical and magnetic resonance (MR) imaging findings were studied. The results of a histologic examination were available in 1 case. RESULTS: All patients presented with painless palpable masses below the scapula, and the initial diagnoses were soft tissue tumors. On MR images, the lesions were 5.5 to 12 cm in maximum diameter (mean = 7.7 cm) and well-demarcated cystic masses situated in the subscapular region between the serratus anterior and the chest wall. There was no solid portion on the cyst walls. The findings of hemorrhage within the bursae were present in all cases. Every mass regressed in size spontaneously after a few to several weeks, and no lesions revealed any malignant findings of sarcomas. CONCLUSIONS: Distended scapulothoracic bursae without scapular snapping resemble soft tissue tumors. They have some specific MR findings; therefore, precise recognition of these findings is important to avoid misdiagnoses and unnecessary treatments.

Aged↗
PubMed2004

'Bald trochanter' spontaneous rupture of the conjoined tendons of the gluteus medius and minimus presenting as a trochanteric bursitis.

A 66-yr-old white woman presented with progressive complaints of right lateral hip and thigh pain associated with a disabling limp without an antecedent history of trauma. Physical examination revealed localized pain over the right greater trochanter to palpation. A full pain-free range of motion of the right hip was associated with weakness in the hip abductors. The patient ambulated with a compensated right Trendelenburg gait. Subsequent magnetic resonance imaging demonstrated a trochanteric bursitis and an effusion of the hip and a full-thickness tear of the gluteus medius muscle, with both a disruption and retraction of the tendon of an atretic gluteus minimus muscle. Conjoined tendon pathology of both the gluteus medius and minimus as, revealed by magnetic resonance examination, is probably more frequent than heretofore commonly recognized. In patients presenting with "intractable" complaints of a trochanteric bursitis and an ambulatory limp due to weakness in the hip abductors, imaging studies calling attention to a possible tendon rupture may be diagnostic.

Aged↗
PubMed2005

Osteomyelitis resulting from chronic filamentous fungus olecranon bursitis.

We describe a case of Phaeoacremonium olecranon osteomyelitis. The patient, initially felt to have traumatic olecranon bursitis, was found to have an indolent filamentous fungus cultured from the olecranon bursa. In retrospect, x-rays revealed bony erosion, which heightened the index of suspicion for infection in this particular case. Surgical bursal excision was performed and antifungal therapy was administered with clinical resolution. This case emphasizes that aspiration, synovial fluid analysis, and culture of bursal fluid is essential in excluding typical and atypical causes of chronic bursitis.

Antifungal Agents↗
PubMedDate not supplied

Comparison of clinical, ultrasonographic, and postoperative macroscopic findings in cows with bursitis.

Clinical, ultrasonographic, and macroscopic findings of bursitis in cows were compared to assess the contribution of diagnosis and therapy planning. Sixteen dairy cows with swelling at the carpal (n = 12) or tarsal (n = 4) region were examined clinically and ultrasonographically and the findings were compared. In 10 patients the bursae were removed in toto. According to the duration of the disease (history) and clinical findings nine and seven patients had acute and chronic bursitis, respectively. Six had fluctuation and in 10 the bursa was firm. Contents were serous (n = 3), serofibrinous (n = 4), serohemorrhagic (n = 2), or purulent (n = 1). Sonographically there was fluid in all bursa except one. Capsule echogenicity varied between hypoechoic and hyperechoic and mean capsule thickness was 9.2 +/- 4.1 mm. Fourteen of the bursae contained free-floating particles. The hyperechoic capsules represented fibrous tissue, and the echogenic/hyperechoic free-floating particles were erythrocytes, purulent exudate, or fibrin masses. Capsule thickness and large free-floating particles could not be detected by clinical examination/centesis alone. However, capsule thickness, bursa contents, and the extent of inflammation could be determined ultrasonographically and this made the decision for different invasive/ operative procedures easier.

Animals↗
PubMed1979

Acute gouty bursitis: report of 15 cases.

Fifteen cases of acute gouty bursitis were seen among 136 crystal-proved cases of gout. Bursal aspirate yielded yellow or pink fluid in 10, chalky white fluid in 1, and a small amount of bloody fluid in 4. Monosodium urate crystals were present in all. Bursal fluid leucocyte counts averaged 2.9 X 10(9)/1 compared with synovial fluid leucocyte counts that averaged 25.5 X 10(9)/1 in cases of articular gout (P less than 0.05). Gouty, septic, and idiopathic (traumatic) bursitis share clinical features, and detailed bursal fluid analysis is crucial for diagnosis.

Acute Disease↗
PubMed1982

Trochanteric bursitis--a frequent cause of 'hip' pain in rheumatoid arthritis.

One hundred consecutive patients with rheumatoid arthritis (RA) were examined for the presence of trochanteric bursitis. This condition was found in 15. Ten patients responded to a single local injection of corticosteroid and the remaining 5 to a second injection. Trochanteric bursitis is an underdiagnosed, easily remediable cause of pain in RA. Specific examination for in presence should be a routine in all patients with RA, especially those with hip pain.

Arthritis, Rheumatoid↗
PubMed1984

Long-term follow-up of corticosteroid injection for traumatic olecranon bursitis.

Forty-seven patients with traumatic olecranon bursitis were evaluated after a mean follow-up of 31 months (range 6 to 62 months). Twenty-two patients treated with bursal aspiration had delayed recovery and no complications of therapy. Twenty-five patients treated with intrabursal injection of 20 mg of triamcinolone hexacetonide had rapid recovery, usually within one week, but suffered complications such as infection (3 cases), skin atrophy (5 cases), and chronic local pain (7 cases). Since spontaneous resolution can be expected, a conservative approach is suggested in the treatment of traumatic olecranon bursitis.

Adult↗
PubMed1990

Avascular necrosis of the femoral head presenting as trochanteric bursitis.

Five patients are described with avascular necrosis of the femoral head who presented with ipsilateral trochanteric bursitis, in the absence of clearcut hip joint disease. Avascular necrosis was indicated by magnetic resonance imaging. It is suggested that clinical trochanteric bursitis, especially when refractory to local corticosteroid treatment, may be the initial sign of hip disease. In the patient with risk factor(s) for avascular necrosis that diagnosis should be considered and evaluated with appropriate studies, such as magnetic resonance imaging, to prevent weight bearing at an early stage and permit possible surgical decompression in the hope of postponing or obviating the need for total hip replacement.

Adult↗
PubMed1987

Management and outcome of infective prepatellar bursitis.

Forty seven cases of prepatellar bursitis are reported. Twenty one patients had sustained a recent injury with a break in the skin which had caused the infection and seventeen patients were employed in jobs which involved kneeling. Oral antibiotics proved to be inadequate treatment in many cases. Splintage and intravenous antibiotics with or without aspiration of the bursa were usually successful in treating the condition, although nine patients required surgical drainage of the bursa. Twelve patients continued to have symptoms months or years after the infection, particularly those with preexisting chronic bursitis, or those who kneeled at work. There was little difference in the results between the different treatment groups.

Adolescent↗
PubMed1995

Multiple bursitis--a case with an unusual skin manifestation.

Bursitis is a periarticular rheumatism which occurs as a result of trauma, infection, metabolic disease or rheumatoid arthritis. The disease is usually manifested as a solitary lesion except in a few reported cases of multiple lesions. We describe here a case of bursitis in a 58-year-old woman with multifocal cystic lesions containing sterile bloody or yellowish fluid in the four extremities. Serological abnormalities were also noted, suggesting the presence of rheumatoid arthritis or another autoimmune connective tissue disease.

Arthritis, Rheumatoid↗
PubMedDate not supplied

Malleolar bursitis in figure skaters. Indications for operative and nonoperative treatment.

Figure skaters are unique athletes who must train for extended periods of time performing motions and routines that create excessive compressive and shear forces between their malleoli and boots. As a result, they are susceptible to the development of a painful adventitious malleolar bursitis. Most often these patients will relate a recent increase in their training schedule or the purchase of a new pair of skating boots. This condition usually responds favorably to nonoperative measures including stretching of the boot over the affected area and protective padding placed around the inflamed bursa. If the swelling is marked, then an aspiration, subsequent injection with cortisone, and a compressive wrap may be indicated. This treatment regimen will enable the majority of figure skaters to continue skating. If the symptoms continue or increase despite nonoperative measures, then cessation of skating for a brief period must be considered. If this is not a viable option for the skater, surgical excision of the bursa may be warranted. If septic bursitis occurs, immediate surgical debridement and intravenous antibiotics are indicated. A Staphyloccocus aureus organism is most often responsible and should be treated with appropriate antibiotics. These patients may return to skating when there is no sign of further infection, the soft tissues have fully healed, and there is no sign of residual inflammatory bursa, usually at 4 to 6 weeks after surgery.

Adolescent↗