Bursitis - purulent inflammation of the mucous periarticular (synovial) bags, resulting in its cavity is formed and accumulated exudate.Bursa located between the bones and tendons, that is a significant mechanical pressure.Most often affects the hip, knee and shoulder joints, as well as the area of the Achilles tendon.In most cases, bursitis passes for one - two weeks, and a serious risk to human life and health is not.However, repeated trauma may trigger the development of chronic bursitis, which is accompanied by pain and permanently impedes movement.That's why so often found among athletes bursitis
Bursitis causes of
bags periarticular inflammation can trigger any gnierodnye germs (usually streptococci and staphylococci), favorable conditions for development that creates a chronic injury.That is why certain types of bursitis (shoulder, elbow, etc.) Are classified as occupational diseases.Gnierodnye germs get into the bursa arising from nearby purulent focus (carbuncle, boi
To summarize all of the above - the main causes of bursitis in most cases are different damage (chronic microtrauma, bruises, etc.), A little less - is a metabolic disorders, infections, intoxication, autoimmune processes, and allergic reactions
Symptoms of bursitis
main symptom of bursitis is the presence of fluctuating rounded painful on movement and palpation of swelling, elevated temperature in this area.Adrift on the bursitis distinguish chronic and acute.
Acute bursitis always starts suddenly with a fairly severe pain that increases with movement.Pain provoked a certain mobility of the joint and varies depending on where the inflammation of the bag.For example, with shoulder bursitis, the patient is very difficult to have a hand behind her head (while dressing or combing).Over the inflamed joints is a very painful point where the pain often sends down the surface of the hand or neck.At night, there has been increasing pain, so that the patient can sit in a chair all night, unable to not lie down or sleep.
Chronic bursitis characterized by weaker but much more prolonged pain.To grow around the joint tissue begins as if the bones, which can lead to a permanent restriction of movement in the joint
Bursitis hip .The most frequently inflamed bags deep and the greater trochanter.Diagnosis iliac - Grebeshkova bursitis rather very difficult due to the fact that the bursa is often accompanied with the joint cavity (it resembles an inflammation coke).Soreness and swelling are determined below the inguinal ligament anterior-thigh.When the hip extension there is a growing pain.If on the other hand, pain aggravated by bending the thigh, then there is inflammation of the sciatic bags, which is located at the point of attachment to the buttock muscles
elbow bursitis .The most commonly develops as a consequence of chronic trauma in sports, or in the course of professional activities.Mainly affects subcutaneous bursa of the olecranon (lucheplechevaya bag lateral epicondyle - less)
Bursitis knee joint .Most often affects the front and prepatellar subcutaneous patellar bursa.Because bursa often interconnected or articular cavity of inflammation is accompanied by symptoms of arthritis.If the inflamed bursa near the posteromedial surface of the joint, may form a Baker cyst, which is able to fill part of the back of the leg, and all the popliteal fossa.This can happen tibial nerve compression, with the subsequent development of paresis leg muscles
Bursitis foot .The most common Achilles bursitis (inflammation of the Achilles tendon bags) and podpyatochny bursitis (inflammation podpyatochnoy bags).Degenerative and inflammatory processes in this area often lead to the formation of heel spurs
diagnosis of bursitis
In the case of inflammatory lesions superficial synovial bags, diagnosis of this disease presents no difficulties, since it is based on the presence of typicalclinical signs.To facilitate the diagnosis performed puncture cavity bag, that the resulting content (purulent - hemorrhagic, purulent, serous, etc.) Allows you to establish the nature of inflammation, to identify the nature of the microbial flora, as well as its sensitivity to antibiotics.
for scheduling and conducting the most effective treatment of this disease, it is important to eliminate the specificity of infection caused by inflammation of the (spirochetes, Brucella, gonorrhea and so on.).This is achieved by performing specific serological, bacteriological research contents of bags and carefully collected history.
main differential - diagnostic feature that allows you to differentiate bursitis arthritis - preserving joint mobility
Treatment of bursitis
Treatment of the disease depends on the stage of pathological changes in the tissues of affected bags on their prevalence, as well as on the ability ofinfection to the further spread.An important role is played by the level of resistance of the patient.
As a rule, the treatment of acute bursitis performed on an outpatient basis.During the first five - seven days is recommended complete rest, during which the applied plaster splints and treatment is prescribed anti-inflammatory drugs.More than ten days of treatment should last at peace.Even in the case of pain support, one - two times a day is necessary to straighten / bend the inflamed joint, and in any case not to leave him immobilized, as if the joint will not work in the future may develop irreversible limit his mobility.
In some cases, shows the introduction of the joint capsule hormones (hydrocortisone, kenalog-40) in combination with antibiotics.After the disappearance of signs of acute inflammation, shown holding the UV radiation, UHF-therapy, phonophoresis of hydrocortisone also prescribed alcohol packs.
When purulent bursitis patient is compulsory to the surgeon, asin this case shown surgical intervention (opening of the bursa, removal of pus), or carrying out a puncture.
Chronic post-traumatic bursitis to be treated surgically, but it should be remembered that these bursitis prone to relapse, so for the prevention of exacerbations should be excluded retraumatization synovial bags.