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Bursitis

Última revisão: 20 Aug 2025
Última atualização: 10 May 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • pain at site of bursa
  • tenderness to palpation at site of bursa
  • decreased active range of motion
Detalhes completos

Outros fatores diagnósticos

  • low-grade temperature
  • swelling
  • erythema
  • warmth of overlying skin
  • painful arc on shoulder abduction (subacromial)
  • lateral hip pain (trochanteric)
  • pain at the extremes of hip rotation, abduction, or adduction (trochanteric)
  • pain of contraction of the hip abductors against resistance (trochanteric)
  • pseudoradiculopathy: pain radiating down the lateral aspect of the thigh (trochanteric)
  • impalpable patella (prepatellar)
  • palpable bump over heel (retrocalcaneal)
Detalhes completos

Fatores de risco

  • occupation that causes mechanical stress on bursa
  • rheumatoid arthritis
  • gout or calcium pyrophosphate deposition disease
  • penetrating injury
  • osteoarthritis of the hip
  • infection in a nearby joint
  • lower limb length discrepancy
  • iliotibial band contracture
  • lumbar spondylosis
  • valgus knee deformity
  • low-riding shoes
  • anatomic or functional impingement within the coracoacromial arch
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical diagnosis
Detalhes completos

Investigações a serem consideradas

  • Gram stain and culture of fluid aspirate
  • crystal analysis
  • x-ray of affected region
  • MRI
  • ultrasound
Detalhes completos

Algoritmo de tratamento

AGUDA

nonseptic bursitis

septic bursitis

Colaboradores

Autores

Nicola Maffulli, MD, MS, PhD, FRCS(Orth)
Nicola Maffulli

Centre Lead and Professor of Sports and Exercise Medicine

Consultant Trauma and Orthopaedic Surgeon

Queen Mary University of London

Barts and The London School of Medicine and Dentistry

William Harvey Research Institute

Centre for Sports and Exercise Medicine

Mile End Hospital

London

UK

Declarações

NM is an author of a number of references cited in this topic.

Umile Giuseppe Longo, MD, MSc, PhD
Umile Giuseppe Longo

Specialist in Orthopaedic and Trauma Surgery

Department of Orthopaedic and Trauma Surgery

Campus Bio-Medico University

Trigoria

Rome

Italy

Declarações

UGL is an author of a number of references cited in this topic.

Vincenzo Denaro, MD
Vincenzo Denaro

Professor and Head of Orthopaedic and Trauma Surgery

Dean of the Faculty of Medicine

Campus Bio-Medico University

Trigoria

Rome

Italy

Declarações

VD declares that he has no competing interests.

Revisores

Steven C. Vlad, MD, PhD

Assistant Professor and Attending Physician of Rheumatology

Division of Rheumatology

Tufts Medical Center

Boston

MA

Declarações

SCV declares that he has no competing interests.

Franceso Oliva, MD, PhD

Specialist in Orthopedics and Trauma

Studi di Roma "Tor Vergata"

Grottaferrata

Rome

Italy

Declarações

FO declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Alvarez-Nemegyei J, Canoso JJ. Evidence-based soft tissue rheumatology: III: trochanteric bursitis. J Clin Rheumatol. 2004 Jun;10(3):123-4. Resumo

Alvarez-Nemegyei J, Canoso JJ. Evidence-based soft tissue rheumatology IV: anserine bursitis. J Clin Rheumatol. 2004 Aug;10(4):205-6. Resumo

Expert Panel on Musculoskeletal Imaging; Jawetz ST, Fox MG, Blankenbaker DG, et al. ACR appropriateness criteria® chronic hip pain: 2022 update. J Am Coll Radiol. 2023 May;20(5s):S33-48. Resumo

Expert Panel on Musculoskeletal Imaging; Fox MG, Chang EY, Amini B, et al. ACR appropriateness criteria(®) chronic knee pain. J Am Coll Radiol. 2018 Nov;15(11s):S302-12.Texto completo  Resumo

Expert Panel on Musculoskeletal Imaging; Nicholas N, Fox MG, Blankenbaker DG, et al. ACR appropriateness criteria® chronic shoulder pain: 2022 update. J Am Coll Radiol. 2023 May;20(5s):S49-69. Resumo

Artigos de referência

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