eMedicine Specialties > Emergency Medicine > Trauma & Orthopedics

Bursitis: Follow-up

Author: Eileen Chang, MD, Resident, Department of Emergency Medicine, Brigham and Women's Hospital, Massachusetts General Hospital
Coauthor(s): Janet Talbot-Stern, MD, Director, Clinical Senior Lecturer, Departments of Emergency Medicine and Surgery, University of Sydney, Royal Prince Alfred Hospital
Contributor Information and Disclosures

Updated: Jul 9, 2008

Follow-up

Prognosis

  • Mortality is very low. The prognosis is good with the vast majority of patients receiving outpatient follow-up and treatment.

Patient Education

  • For excellent patient education resources, visit eMedicine's Arthritis Center. Also, see eMedicine's patient education article Bursitis.

Miscellaneous

Medicolegal Pitfalls

  • Failure to diagnose and treat septic bursitis.
  • Failure to distinguish septic bursitis from septic arthritis.
  • Misdiagnosis of bursitis and missing other diagnoses (fracture, dislocation).
 


More on Bursitis

Overview: Bursitis
Differential Diagnoses & Workup: Bursitis
Treatment & Medication: Bursitis
Follow-up: Bursitis
Multimedia: Bursitis
References
[ CLOSE WINDOW ]

References

  1. Shbeeb MI, O'Duffy JD, Michet CJ Jr, O'Fallon WM, Matteson EL. Evaluation of glucocorticosteroid injection for the treatment of trochanteric bursitis. J Rheumatol. Dec 1996;23(12):2104-6. [Medline].

  2. Smith DL, McAfee JH, Lucas LM, et al. Treatment of nonseptic olecranon bursitis. A controlled, blinded prospective trial. Arch Intern Med. Nov 1989;149(11):2527-30. [Medline].

  3. Apley AG, Solomon L. Apley's System of Orthopaedics and Fractures. 6th ed. Elsevier; 1993:297, 479-480.

  4. Baum J. Joint pain. It isn't always arthritis. Postgrad Med. Jan 1989;85(1):311-3, 316, 321. [Medline].

  5. Biundo JJ. Regional rheumatic pain syndromes. In: Shumacher HR, ed. Primer on the Rheumatic Diseases. 10th ed. Atlanta, Ga: Arthritis Foundation; 1993:277-87.

  6. Blaine TA, Kim YS, Voloshin I. The molecular pathophysiology of subacromial bursitis in rotator cuff disease. J Shoulder Elbow Surg. Jan-Feb 2005;14(1 Suppl S):84S-89S. [Medline].

  7. Costantino TG, Roemer B, Leber EH. Septic arthritis and bursitis: emergency ultrasound can facilitate diagnosis. J Emerg Med. Apr 2007;32(3):295-7. [Medline].

  8. Dawn B, Williams JK, Walker SE. Prepatellar bursitis: a unique presentation of tophaceous gout in an normouricemic patient. J Rheumatol. May 1997;24(5):976-8. [Medline].

  9. Fortin L, Belanger R. Bursitis of the iliopsoas: four cases with pain as the only clinical indicator. J Rheumatol. Oct 1995;22(10):1971-3. [Medline].

  10. Goldwirth M, Krasin E, Goodwin DR. Talcum powder in revision surgery for olecranon bursitis. Good outcome in 11 patients. Acta Orthop Scand. Jun 1999;70(3):286-7. [Medline].

  11. Hassell AB, Fowler PD, Dawes PT. Intra-bursal tetracycline in the treatment of olecranon bursitis in patients with rheumatoid arthritis. Br J Rheumatol. Sep 1994;33(9):859-60. [Medline].

  12. McFarland EG, Gill HS, Laporte DM. Miscellaneous conditions about the elbow in athletes. Clin Sports Med. Oct 2004;23(4):743-63, xi-xii. [Medline].

  13. Melamed A, Bauer CA, Johnson JH. Iliopsoas bursal extension of arthritic disease of the hip. Radiology. Jul 1967;89(1):54-8. [Medline].

  14. Neustadt DH. Injection therapy of bursitis and tendonitis. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 2nd ed. WB Saunders Co; 1991.

  15. Neviaser RJ. Lesions of the biceps and tendinitis of the shoulder. Orthop Clin North Am. Apr 1980;11(2):343-8. [Medline].

  16. Quinn CE. On the trail of infective bursitis. Emerg Med. 1993;Jan:[Medline].

  17. Safran MR, Fu FH. Uncommon causes of knee pain in the athlete. Orthop Clin North Am. Jul 1995;26(3):547-59. [Medline].

  18. Salvarani C, Cantini F, Olivieri I, et al. Proximal bursitis in active polymyalgia rheumatica. Ann Intern Med. Jul 1 1997;127(1):27-31. [Medline].

  19. Shbeeb MI, Matteson EL. Trochanteric bursitis (greater trochanter pain syndrome). Mayo Clin Proc. Jun 1996;71(6):565-9. [Medline].

  20. Simon R. Joint pain. Emerg Med. 1987;July:23. [Medline].

  21. Slawski DP, Howard RF. Surgical management of refractory trochanteric bursitis. Am J Sports Med. Jan-Feb 1997;25(1):86-9. [Medline].

  22. Small LN, Ross JJ. Suppurative tenosynovitis and septic bursitis. Infect Dis Clin North Am. Dec 2005;19(4):991-1005, xi. [Medline].

  23. Stell IM, Gransden WR. Simple tests for septic bursitis: comparative study. BMJ. Jun 20 1998;316(7148):1877. [Medline].

  24. Toohey AK, LaSalle TL, Martinez S, Polisson RP. Iliopsoas bursitis: clinical features, radiographic findings, and disease associations. Semin Arthritis Rheum. Aug 1990;20(1):41-7. [Medline].

  25. Valeriano-Marcet J, Carter JD, Vasey FB. Soft tissue disease. Rheum Dis Clin North Am. Feb 2003;29(1):77-88, vi. [Medline].

  26. Yoshida S, Shidoh M, Imai K, et al. Rice bodies in ischiogluteal bursitis. Postgrad Med J. Apr 2003;79(930):220-1. [Medline].

  27. Zimmermann B 3rd, Mikolich DJ, Ho G Jr. Septic bursitis. Semin Arthritis Rheum. Jun 1995;24(6):391-410. [Medline].

  28. Zuinen C. Diclofenac/misoprostol vs diclofenac/placebo in treating acute episodes of tendinitis/bursitis of the shoulder. Drugs. 1993;45 Suppl 1:17-23. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

bursal synovitis, inflammation of a bursa, deep bursae, superficial bursae, subacromial bursitis, subdeltoid bursitis, polymyalgia rheumatica, olecranon bursitis, lunger elbow, iliopsoas bursitis, trochanteric bursitis, rheumatoid arthritis, osteoarthritis,Patrick-Faberetest, ischial bursitis, weaver bottom, prepatellarbursitis, housemaid knee, carpet-layer knee, beat knee, infrapatellar bursitis, clergyman knee, anserine bursitis, calcaneal bursitis, overuse injuries, gout, pseudogout, ankylosing spondylitis, psoriatic arthritis, scleroderma, systemic lupus erythematosus, pancreatitis, Whipple disease, oxalosis, uremia, hypertrophic osteoarthropathy, idiopathic hypereosinophilic syndrome, infective bursitis, septic bursitis

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Eileen Chang, MD, Resident, Department of Emergency Medicine, Brigham and Women's Hospital, Massachusetts General Hospital
Disclosure: Nothing to disclose.

Coauthor(s)

Janet Talbot-Stern, MD, Director, Clinical Senior Lecturer, Departments of Emergency Medicine and Surgery, University of Sydney, Royal Prince Alfred Hospital
Disclosure: Nothing to disclose.

Medical Editor

Mark Louden, MD, FACEP, Assistant Medical Director, Emergency Department, Duke Raleigh Hospital
Mark Louden, MD, FACEP is a member of the following medical societies: American Academy of Emergency Medicine and American College of Emergency Physicians
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Gino A Farina, MD, Program Director, Associate Professor of Clinical Emergency Medicine, Department of Emergency Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine
Gino A Farina, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD, Medical Director, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital
Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: WebMD Salary Employment

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.