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Chapter-082 Bursitis: Upper Extremity

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. KJ Bouffard
ISBN
9789386261458
DOI
10.5005/jp/books/14128_83
Edition
3/e
Publishing Year
2018
Pages
2
Author Affiliations
1. Rehabilitation Institute of Chicago, Chicago, IL, USA
Chapter keywords
Bursae, bursitis, magnetic resonance imaging, MRI, corticoid steroid injection, CSI, nonsteroidal anti-inflammatory drug, NSAID, range of motion, ROM

Abstract

Bursae are thin, sac-like, fluid-filled structures which are enclosed by synovium and are commonly located between muscles to reduce friction as they glide over each other or on top of prominent bony protrusions to facilitate the movement of muscle or tendon across these structures or to protect them from direct trauma. Bursitis, or irritation of these structures, can result from inflammatory or noninflammatory processes. Common causes of bursitis include direct trauma, prolonged pressure, overuse or highly intensive activity, infection, and gout or inflammatory arthritis. Aspiration and laboratory analysis of the bursal fluid is indicated in cases where septic, gouty, or inflammatory bursitis is suspected. Imaging is typically not required though with deeper bursae, concern for alternative pathology, or to guide aspiration/injection, magnetic resonance imaging (MRI) or ultrasound may be helpful.

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