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At least 19 recordsLinked to original sources
PubMed1979

Comparison of nonseptic and septic bursitis. Further observations on the treatment of septic bursitis.

Of 30 cases of olecranon and prepatellar bursitis, ten were septic. Fever, tenderness, peribursal cellulitis, and skin involvement over the bursa were more common in the septic cases. A high leukocyte count, low bursal-to-serum glucose ratio, and positive Gram-stained smear of the bursal fluid distinguished septic from nonseptic bursitis. Rheumatoid arthritis and gout may be accompanied by nonseptic bursitis. Septic bursitis may be associated with a sympathetic sterile effusion in a neighboring joint or adjacent fascial space. The duration of antibiotic treatment necessary to sterilize bursal fluid was proportional to the length of time infection had been present. A prospective antibiotic program disclosed an average of 12 days for successful therapy. A bactericidal agent against penicillin-resistant Staphylococcus aureus is the drug of choice.

Anti-Bacterial Agents↗
PubMed1976

Pseudo-radiculopathy in subacute trochanteric bursitis of the subgluteus maximus bursa.

Seventy patients, averaging 82 years of age, were referred for low back pain and/or a suspected herniated disk. Objective neurological deficits consistent with L5 or S1 root involvement were identified in 5 of the 70 patients. Trochanteric bursitis (TB), often mimicking radiculitis, was diagnosed in 31 patients. Trochanteric bursitis was associated with lumbosacral strain and lumbar osteoarthrosis in 21 of 31 patients and with an S1 disk in 1 of those 31 patients. Degenerative joint disease of the ipsilateral hip was present in 4 of 20 of these patients with TB. Six patients with low back pain had both hip and knee arthritis (including two patients with rheumatoid arthritis). Three patients had degenerative hip disease without low back complaints. The remaining patient had TB associated with left hemiparesis. All patients had limitation of lumbosacral motion. Patients with arthritic hips had apparent shortening of the affected leg of one-half inch or greater. Trochanteric bursitis is a common complication of lumbosacral strain, frequently mimicking radiculopathy. Gait alteration associated with back pain or static traction on gluteal musculature during rest therapy may be predisposing factors. The association of TB with hip disease and/or leg length discrepancies was again confirmed.

Aged↗
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↗
PubMedDate not supplied

Septic subcutaneous bursitis. Report of sixteen cases.

Sixteen cases of bacterial infection of subcutaneous bursae were reviewed. Septic subcutaneous bursitis usually occurred following injury to the skin overlying the bursa. Two cases developed after bursal corticosteroid injection for treatment of aseptic bursitis. Bursal fluid culture yielded staphlococci in 14 cases and streptococci in 2. Blood cultures obtained in 8 patients were negative. No patient had clinical manifestations suggestive of bacteremia. Needle and/or incisional drainage of the bursa plus systemic antibiotics led to uneventful recovery in 14 patients. Two patients had chronic drainage. One resolved spontaneously and the other required bursectomy.

Adult↗
PubMed1978

Septic bursitis.

In 12 cases of septic bursitis seen during 11 years, 11 patients were men and one patient was a woman, with a mean age of 51.3 years. The olecranon bursa was involved in nine cases. Staphylococcus aureus was grown from nine of ten culture-positive fluids. Bursal fluid WBC counts ranged from 1,550/cu mm to 165,000/cu mm, associated with low glucose levels in two cases, but not in three. Treatment with antibiotics and needle aspiration or surgical drainage was successful.

Adult↗
PubMed1979

The surgical approach to refractory trochanteric bursitis.

This article identifies and describes a small group of patients with trochanteric bursitis for whom all modes of conservative therapy have failed. They are treated surgically by release of the ileotibial band, removal of trochanteric osteophytes and debridement of the gluteus maximus bursae. In this series all of the patients had satisfactory results and returned to near-normal function without significant complications.

Bursa, Synovial↗
PubMed1979

Treatment and prognosis for cunean tendon bursitis-tarsitis of Standardbred horses.

During 1975 and 1976, 70 Standardbred horses with cunean bursitis-tarsitis were treated by cunean tenectomy or by more conservative approaches (rested, given corticosteroid injections in the cunean bursa and distal hock articulations, given an oral course of phenylbutazone, a combination of these) or were sold. In 1975, owners were urged to have cunean tenectomy done to horses that appeared to have potential to race well, and in 1976, the more conservative methods of management and treatment were recommended. Statistical analysis of racing performance data led to the conclusion that there was no difference between the effect of these treatment approaches on racing performance during the rest of the year and the following calendar year.

Animals↗
PubMedDate not supplied

Apatite-associated arthropathy: a clinical study of 14 cases and of 2 patients with calcific bursitis.

Fourteen cases of acute calcific periarthritis and 2 cases of acute calcific bursitis are described. All patients had radiologic periarticular calcific deposits. Synovial fluid was available from 8 patients. Hydroxyapatite crystals were positively identified in 1 by x-ray diffraction analysis and by scanning and transmission electron microscopy. Apatite-associated arthropathy likely represents a form of crystal-induced inflammation. Three articular syndromes can be recognized; acute calcific periarthritis, acute (calcific) arthritis and a subacute-to-chronic arthritis resembling osteoarthritis. To improve patient classification, diagnostic criteria are proposed.

Acute Disease↗
PubMed1977

[Pathomorphology of infectious bursitis in chicks].

Morphologic studies were carried out on birds aged 17 to 90 days, affected with Gumboro disease and occasionally died from the same disease (infectious bursitis). Established were hemorrhages in the leg and breast musculature, substantial enlargement of the bursa of Fabricius, and lesions in the kidneys. In some cases hemorrhages were also found on the serous membrane of the parenchymal organs. The histologic investigation of the involved parenchymal organs revealed necrobiotic changes (karyopycnosis, karyorrhexis) in the cellular elements, which were evaluated as a possible diagnostic symptom. Discussed is the problem of the dynamics of the morphologic changes observed in the bursa of Fabricius in view of their differential-diagnostic value.

Animals↗
PubMed1977

A placebo-controlled, double-blind trial of Benorylate tablets in the treatment of bursitis and synovitis due to sports injury.

In this two-week study, Benoral tablets, at a 4.5 g daily dosage were compared with a matching placebo in 20 patients suffering from sports injury. Four assessments were made: pain at rest, pain on movement, tenderness and soft tissue swelling. In each case the active treatment group (benorylate) was statistically greater than that in the placebo group at one week and after two weeks' treatment.

Athletic Injuries↗
PubMed1979

Diagnosis, relative incidence, and probable cause of cunean tendon bursitis-tarsitis of Standardbred horses.

A prospective study of the diagnostic results on 25 previously untreated, slightly lame Standardbred horses showed that manipulative tests are of some help in diagnosis. The lameness of each horse was diminished or the horse went lame on the opposite limb after being given an injection of anesthetic in the cunean bursa, and lameness improved more when local anesthetic was injected in the distal intertarsal and tarsometatarsal articulations. In four horses, lesions of the distal articulation of the hock were evident on radiography.

Animals↗
PubMed1978

Septic bursitis.

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Bursitis↗