Bursitis of the knee, hip, elbow and shoulder - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video talks about what is a bursitis? Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Find me on Instagram @OrthoInitiative Bursitis of the knee, hip, elbow, and shoulder    • Bursitis of the knee, hip, elbow and ...   What is bursitis? Here you can see a huge bursitis of the knee! The bursa is a thin sac containing minimal fluid that lubricates the tissue and decreases friction. These bursae are present or friction normally occurs between Bones, muscles, and tendons. When the bursa is irritated, inflamed, and painful, the condition is called bursitis. Types of bursitis: • Prepatellar knee bursitis • Trochanteric hip bursitis • Olecranon (elbow) bursitis • Subacromial shoulder bursitis Knee bursitis The knee is a small bursa in front of the patella and when the bursa becomes inflamed, it is called bursitis, which causes pain, swelling, tenderness and a lump in the area on the top of the kneecap. May be difficult to kneel down due to the tenderness and swelling. Sometimes knee bursitis can occur from occupational kneeling, like carpet layers, tilers, and what wrestlers. Try to look into any break in the skin in the area of the bursa. A red, hot, painful, swollen versus a sign of a possible infection. Wrestlers can have abrasions of the knee and this can lead to knee bursitis that may become infected. Treatment • Anti-inflammatory medications • Ice therapy • Aspiration o If infection is suspected or confirmed. o Aspirate first before you give antibiotics and send the fluid for culture and crystals. • Surgery o Debridement and excision of the bursa may be needed. Hip bursitis Hip bursitis is called trochanteric bursitis. It is lateral hip pain over the greater trochanter, which is aggravated by direct pressure or movement of the hip. Is a painful inflammation of the bursa located just superficial to the bone of the greater trochanter of the femur. It is an overuse condition. The patient cannot identify the exact location of the pain outside the hip area. Examination will show tenderness over the greater trochanter. Trochanteric bursitis could be associated with iliotibial band syndrome. Rule out gluteus medius tear. Pain from a gluteus medius tear can mimic pain from greater trochanter bursitis. Olecranon (elbow) bursitis Elbow bursitis is sometimes called olecranon bursitis, which can cause pain, swelling, tenderness, and a lump in the area at the tip of the elbow. It may be difficult to put the elbow down onto a surface due to the tenderness and the inflammation. Bursitis of the elbow can occur due to many factors including inflammation, trauma, infection, or medical conditions such as gout and rheumatoid arthritis. The normal olecranon bursa provides protection and decrease friction to the elbow area. It contains a little fluid, and when this fluid increases, it can be painful and this is called bursitis. Treatment • Anti-inflammatory medication • Ice • Aspiration o Send the fluid for cultures and for crystals • Antibiotics o If infection is suspected • Surgery o Debridement and excision of the bursa Shoulder bursitis (subacromial bursitis) Shoulder bursitis is also called subacromial bursitis. It is a condition caused by inflammation of the bursa. This bursa separates the supraspinatus tendon (rotator cuff muscle) from the acromion. This bursa aids in the motion of the supraspinatus tendon of the rotator cuff and overhead activities. The patient with bursitis will complain of decreased motion and painful overhead activities. Shoulder bursitis is a common source of shoulder pain. You will find it in about 50% of all patients who come to the doctor with a complaint of a shoulder problem. It is really an irritation of the rotator cuff and it can lead to breakdown and tear of the tendon (could be an overuse syndrome). Treatment • Therapy • Anti-inflammatory medication • Injection o Either a blind injection or ultrasound-guided injection