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PubMed1992

Aspergillus terreus as a cause of septic olecranon bursitis.

A 72-year-old, non-insulin-dependent diabetic man with a 2-month history of painful right olecranon bursitis was examined after a fall on the sidewalk that resulted in some abrasion of the skin overlying the elbow. Fluid aspirated from the bursa showed growth of Aspergillus terreus, as did tissue from a bursectomy performed 1 week later. Septic bursitis is an uncommon disease that is nearly always caused by Staphylococcus aureus or hemolytic streptococci. Mycotic bursitis is very rare and this is the first reported instance of any Aspergillus species causing septic bursitis.

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PubMed2001

Iliopectineal bursitis complicating hemiarthroplasty: a case report.

Enlarged iliopectineal bursitis in the hip region, which usually occurs with degenerative, infectious, or traumatic disorders, is relatively rare. Iliopectineal bursitis complicating bipolar hemiarthroplasty is even more rare. Reported here is an unusual case of a patient with an inguinal mass presenting 8 years after bipolar hemiarthroplasty. Enlarged bursitis complicating the hip prosthesis is rare and has been described only anecdotally in the literature. The enlarged iliopectineal bursa arises from the hip, and the most apparent cause of its formation is polyethylene debris. Treatment should be directed at the source of the debris intraarticularly. Wearing of the polyethylene insert was difficult to discern radiographically for this patient; it was seen on the scout film of the computed tomography of the pelvis while evaluating the enlarged bursitis. The scout film of the computed tomography and the two-dimensional reconstruction of computed tomograms of the hip may be helpful in evaluating wearing of the polyethylene insert.

Arthroplasty, Replacement, Hip↗

PubMed2003

Ischiogluteal bursitis: multimodality imaging findings.

Ischiogluteal bursitis is a rare, infrequently recognized condition. Two cases of ischiogluteal bursitis in an 80-year-old man and a 75-year-old woman are presented. Both patients presented with a painful buttock mass. Contrast-enhanced multiplanar reconstruction computed tomography scans revealed a lesion with peripheral enhancement inferior to the ischial tuberosity. Magnetic resonance imaging revealed a lesion with low or intermediate signal intensity on T1-weighted images. T2-weighted images revealed a lesion with high signal intensity. Postcontrast magnetic resonance imaging scans revealed peripheral enhancement of the lesion. The multimodality imaging findings of ischiogluteal bursitis have not been described previously. Ischiogluteal bursitis should be considered in the differential diagnosis of a buttock mass.

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PubMedDate not supplied

The operative treatment of scapulothoracic bursitis in professional pitchers.

Four professional pitchers with resistant scapulothoracic bursitis who have required surgical excision of the thickened bursa are reported. The average time duration of symptoms prior to surgery was 18.8 months. Conservative therapy consisting of rest, shoulder exercises, antiinflammatory medications, and cortisone injections failed to resolve the bursitis, and each pitcher was unable to compete secondary to pain. The incision was posterior, just distal to the tip of the scapula. The specimens contained cleft-like spaces lined by synovial tissue consistent with a bursa. All four pitchers returned to professional baseball the year following surgical excision of the bursa. We recommend early, aggressive, conservative therapy for scapulothoracic bursitis in the throwing athlete. Pitchers with a thickened, resistant scapulothoracic bursitis should have the bursa surgically excised.

Adult↗

PubMed2000

Treatment of supraspinous bursitis by use of debridement in standing horses: 10 cases (1968-1999).

OBJECTIVE: To evaluate efficacy of debridement for treatment of supraspinous bursitis in horses and to evaluate the outcome. DESIGN: Retrospective study. ANIMALS: 10 horses with clinical signs of supraspinous bursitis. PROCEDURE: Medical records were reviewed for signalment, anamnesis, results of physical and radiographic examination, microbial culture results of supraspinous bursa tissue or exudate, Brucella abortus titers, type of antimicrobial and anti-inflammatory therapies, surgical technique, complications of the surgical procedure, and findings on histologic examination of excised nuchal ligament and bursal tissue. Telephone follow-up with owners, trainers, or referring veterinarians was performed. RESULTS: The described surgical technique was effective in resolving drainage from the supraspinous bursal region in 5 of 6 horses available for long-term follow-up. The most common complication following surgery was the development of purulent wound drainage. Two horses required multiple surgeries to resolve clinical signs of supraspinous bursitis. The most common organism isolated from the supraspinous bursa was beta-hemolytic Streptococcus spp. All horses were discharged from the hospital and long-term follow-up was available for 6 horses. All 6 horses could be used for their intended use. CONCLUSIONS AND CLINICAL RELEVANCE: Debridement in standing horses is an effective method of resolving clinical signs of supraspinous bursitis.

Animals↗

PubMed2002

Calcific trochanteric bursitis: resolution of calcifications and clinical remission with non-invasive treatment. A case report.

Calcific trochanteric bursitis, a common regional pain syndrome, is characterized by chronic, intermittent aching pain over the lateral aspect of the hip and limitation of function. Effective treatment is invasive, including infiltration therapy and surgical intervention. The therapeutic effects of conservative treatment modalities have not been proven. A 59-year-old woman presented at the department of physical medicine and rehabilitation with a 2-year history of pain in the right hip. She had been treated with several agents such as glucocorticoids and local anesthetics (via injection) for two years, but without success. Physical examination revealed the clinical diagnosis of bursitis trochanterica. Radiographic findings showed calcified rounded masses measuring about 1.5 cm in diameter around the greater trochanter; a calcific bursitis trochanterica was diagnosed. The patient presented for conservative treatment in order to avoid surgical intervention for removing the calcification and the bursal sac. A non-invasive treatment regimen including intensive pulsed ultrasound therapy, physiotherapy and iontophoresis was started. The conservative treatment led to a remission of both, symptoms as well as radiographic findings, which revealed complete resolution of calcifications. This case report shows that, in cases of calcific trochanteric bursitis (including those with extensive calcifications), a non-invasive conservative treatment regimen including intensive high-dosed pulsed ultrasound therapy should be attempted before more invasive treatment (injections, surgery) is considered.

Bursitis↗

PubMed1992

Subcutaneous bursitis in scleroderma.

We encountered 3 types of subcutaneous bursitis in our patients with scleroderma: dry bursitis characterized by a rub, sterile bursitis characterized by inflammatory effusions without crystals by polarizing microscopy, and septic (staphylococcal) subcutaneous bursitis. The latter, which occurred in 6 of 40 consecutive patients, had a protracted course, was often complicated by fistulas, and tended to involve several bursae particularly in patients with extensive calcinosis.

Adult↗

PubMed2005

[To treat pharyngeal bursitis by microwave under nasal endoscope].

OBJECTIVE: Discussing the curative effect to treat pharyngeal bursitis by microwave under nasal endoscope, observing the wound change and writing down the time of white scar dropping after the operation. METHOD: Eleven cases of pharyngeal bursitis and 6 cases of nasopharyngeal cyst were treated by microwave under nasal endoscope, 0.9% sodium chloride solution were given for nasal irrigation two times daily,to observe the wound under nasal endoscope weekly up to the white scar dropping. RESULT: There are 14 cases cure and 3 cases in effect. The white scar dropped between 2 to 3 weeks and the patients symptom disappeared. CONCLUSION: Nasal endoscopy conduce to the diagnosis of pharyngeal bursitis. It is an effective method to treat pharyngeal bursitis by microwave under nasal endoscope and 0.9% sodium chloride solution were given for nasal irrigation after operation.

Adult↗

PubMedDate not supplied

Septic olecranon bursitis: recognition and treatment.

BACKGROUND: The superficial location of the olecranon bursa places it at high risk for injury, possibly leading to the entry of bacteria into the bursal sac. Early differentiation between septic and nonseptic olecranon bursitis is paramount to direct therapy, to hasten recovery, and to prevent chronic inflammation. METHODS: A literature review was performed using MEDLINE files from 1967 to the present. Additional references from the bibliographies of these were also utilized. RESULTS AND CONCLUSIONS: Olecranon bursitis is a common condition that requires the treating physician to be aware of the predisposing factors, clinical signs and symptoms, and laboratory findings of both septic and nonseptic olecranon bursitis. With early recognition, prompt therapy, and preventive measures, the morbidity of septic olecranon bursitis can be considerably reduced, but surgical incision and drainage or excision could be required if conservative therapy fails.

Bursitis↗

PubMed2004

Evidence-Based Soft Tissue Rheumatology IV: Anserine Bursitis.

Anserine bursitis is a frequent cause of medial knee pain. Despite its name, the structure at fault causing the symptoms remains unknown. Diabetes mellitus is a known predisposing factor leading to the condition. Overweight and knee osteoarthritis are possible additional risk factors, but their role has yet to be assessed. Anserine bursitis is diagnosed clinically based on medial knee pain and localized tenderness at the inferomedial knee. Current treatment of anserine bursitis includes nonsteroidal anti-inflammatory dugs, physiotherapy, and local glucocorticoid injections. Of these, only the latter has been shown effective in clinical trials. Knowledge gaps in the epidemiology, pathology, and pathogenesis of anserine bursitis should lead to additional research efforts on this common and perplexing condition.

Journal Article↗

PubMed1985

[Associated vaccination of poultry against infectious bronchitis, Newcastle disease and infectious bursitis].

The effectiveness of immunity was studied following a mixed vaccination with live vaccines against infectious bronchitis (strains H120 and H52), Newcastle disease (strain La Sota), and infectious bursitis (strain Th75Vn82). The three vaccines were applied simultaneously via the drinking water, through the spray method, and nasally. Experiments were carried out with a total of 31,466 birds: broilers, growing layers, broiler parents--all without preliminary treatment with biopreparations. Immunity against Newcastle disease was followed up through the hemagglutination-inhibition test and challenging with a virulent virus; against infectious bursitis--through immunodiffusion in agar gel after Ouchterlony; and against infectious bronchitis--through virus-neutralization with strain Beaudette. The birds were treated with mixed vaccines in the following combinations: infectious bronchitis--Newcastle disease; infectious bursitis--Gumboro; infectious bronchitis, Newcastle disease, Gumboro. The simultaneous application of live vaccines against infectious bronchitis, Newcastle disease, and infectious bursitis was shown to be well tolerated with no harmful aftereffects whatever. The immunity built up with the simultaneous use of the three vaccines was not inferior in effectiveness to that conferred with the use of two vaccines or only one of them.

Animals↗

PubMed1982

Olecranon bursitis related to calcium pyrophosphate dihydrate crystal deposition disease.

A case of olecranon bursitis in an 81-year-old patient is presented. Analysis of the bursal fluid revealed positive birefringent crystals; radiographs showed calcifications in the distal triceps tendon. A bursectomy was performed. X-ray diffraction analyses demonstrated calcium pyrophosphate dihydrate patterns in a subcutaneous "tophus" and in a specimen of the tendon. On histologic examination, there was a bursitis with positive birefringent crystals on the bursa's inner surface; histologic images of "chondrocalcinosis" were observed in and around the tendon. It is concluded that bursitis may be part of the extraarticular manifestations of calcium pyrophosphate dihydrate crystal deposition disease.

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PubMed2002

Imaging features of ischial bursitis with an emphasis on ultrasonography.

OBJECTIVE: The aim of this study was to evaluate the imaging features of ischial bursitis with an emphasis on ultrasonography (US). DESIGN AND PATIENTS: Our study included 31 patients with a painful mass or tenderness in their buttock who underwent US (n=27), CT (n=1), or MR imaging (n=4). A needle aspiration (n=6) or a bursal excision (n=5) was performed in those patients who had no clinical improvement in spite of the conservative treatment. Evaluation included lesion location, size, wall of the bursae, and intrinsic characteristics on US, CT and MR imaging. RESULTS: Ischial bursitis was superficial to the ischial tuberosity in all patients (n=31). The lesion ranged from 1.5 cm to 7 cm (average 3.8 cm) in diameter. The bursal wall was identifiable in 25 cases (81%). Internal septa and mural nodules were seen in 12 (39%) and 17 cases (55%), respectively. Sonography showed that fluid within the bursa was hypoechoic (59%), hyperechoic (26%), or of mixed echogenicity (15%). The bursae were compressible by the transducer. Power Doppler examination (n=7) showed hypervascularity of the bursal wall. All lesions imaged with contrast-enhanced CT and MR imaging had an enhancing thin wall and mural nodule. CONCLUSIONS: Ischial bursitis, superficial to the ischial tuberosity, can be clearly demonstrated on sonography and appears as a thin-walled cystic lesion, with or without internal septa and mural nodules.

Adult↗

PubMed2006

Enlarged psoas muscle and iliopsoas bursitis associated with a rapidly destructive hip in a patient with rheumatoid arthritis.

A 39-year-old man with rheumatoid arthritis developed femoral neuropathy secondary to iliopsoas bursitis. The adjacent hip joint was severely damaged. Magnetic resonance imaging showed enlargement and inflammation of the psoas muscle at the same side of iliopsoas bursitis. Iliopsoas bursitis and abnormal findings of the psoas muscle disappeared while the symptoms improved.

Adult↗

PubMedDate not supplied

The molecular pathophysiology of subacromial bursitis in rotator cuff disease.

Little information exists on the molecular and biochemical pathophysiology of subacromial bursitis and rotator cuff disease. We investigated the pattern of expression of cytokines (interleukin [IL]-1beta, IL-1, IL-6, tumor necrosis factor [TNF] alpha, small inducible cytokines), metalloproteases, and cyclooxygenases in the subacromial bursa in patients with rotator cuff disease. Subacromial bursa specimens were prepared for molecular and biochemical analysis in patients undergoing shoulder surgery following an institutional review board-approved protocol. Specimens were analyzed for the presence of cytokines, metalloproteases, and cyclooxygenases by use of microarray for gene expression and immunohistocytochemistry. Microarray analysis for gene expression and immunohistochemistry demonstrated that the expression of several cytokine genes (TNF, IL-1alpha, IL-1beta, and IL-6) was increased in patients with subacromial bursitis compared with control specimens. Furthermore, the expression of metalloproteases (MMP-1 and MMP-9) and cyclooxygenases (COX-1 and COX-2) in the bursitis group was found to be increased as compared with controls. Although further investigation is required, these studies suggest that inflammation of the subacromial bursa does occur in patients with rotator cuff disease. These findings support the role of anti-inflammatory agents in the treatment of subacromial impingement and emphasize the importance of subacromial bursectomy to reduce inflammation in rotator cuff disease.

Bursitis↗

PubMed1996

Pterygoid hamulus bursitis: one cause of craniofacial pain.

Craniofacial pain disorders are frustrating to the doctor and the patient. Diagnosis is often difficult because the anatomy of the head and neck region is complex, grossly and neurologically. Frequently, several pain syndromes exhibit similar symptoms. One such disorder is bursitis of the pterygoid hamulus. This type of bursitis may produce symptoms of soft palatal, ear, and throat pain, maxillary pain, and difficulty and pain on swallowing. This disorder is often misdiagnosed as otitis media. Treatment may be conservative or surgical. This article discusses the anatomy, symptoms, diagnosis, and treatment of bursitis of the hamular process.

Bursitis↗

PubMed1999

Prevalence and risk factors associated with adventitious bursitis in live growing and finishing pigs in south-west England.

The prevalence and risk factors associated with adventitious bursitis in 912 growing and finishing pigs, originating from 20 different housing systems in south-west England, were investigated in this study. The overall prevalence of bursal lesions was 63.4%. Bursae were seen at different aspects of the hock: lateroplantar, plantar, medial and point of the hock. The most frequently affected site was lateroplantar (54.4%) followed by plantar (12.5%), medial (2.0%) and finally the point of the hock (0.7%). There was no difference in the proportions of left and right hocks affected. Bursal lesions were seen in pigs from 8 to 28 weeks of age and prevalence increased with age. Also, the longer the period pigs spent in the pen, the more likely they were to have bursitis. After accounting for the effect of herd of origin, bedding which covered the whole pen (OR 0.11) or only the lying area (OR 0.29) was the most important factor which reduced the risk of bursitis. A wet slurry film in the dunging area (OR 1.67) and a difference between the solid area and the concrete slats greater than 3 cm (OR 3.11) were significantly associated with an increased risk of bursal lesions.

Animals↗

PubMed2003

Polyethylene-induced pes anserinus bursitis mimicking an infected total knee arthroplasty: a case report and review of the literature.

Polyethylene-induced pes anserinus bursitis after total knee arthroplasty (TKA) with the clinical manifestations mimicking an infected TKA is a very rare occurrence. We report such a case in a 74-year-old woman. She developed recurrent draining papules on the anterolateral aspect of the knee because of polyethylene-induced chronic pes anserinus bursitis 8 years after TKA. The diagnosis was established with a sinography study and confirmed by histopathologic examination of the surgical specimen. The symptoms were resolved after surgical excision of the lesion. Pes anserinus bursitis should be included in the differential diagnosis in knees with a draining sinus after TKA, and sinogram is considered the best method to establish the diagnosis.

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