Bursite
Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- dor no local da bursa
- sensibilidade à palpação no local da bursa
- redução da amplitude de movimento ativa
Другие диагностические факторы
- presença de fatores de risco
- temperatura baixa
- edema
- eritema
- calor da pele sobreposta
- arco dolorido na abdução do ombro (subacromial)
- dor lateral do quadril (trocantérica)
- dor aos extremos de rotação, abdução ou adução do quadril (trocantérica)
- dor à contração dos abdutores do quadril contra resistência (trocantérica)
- pseudorradiculopatia: dor irradiando para baixo da região lateral da coxa (trocantérica).
- patela impalpável (pré-patelar)
- saliência palpável sobre o calcanhar (retrocalcânea)
Факторы риска
- ocupação que causa estresse mecânico sobre uma bursa
- artrite reumatoide
- gota ou doença de depósito de pirofosfato de cálcio
- lesão penetrante
- osteoartrite do quadril
- infecção em uma articulação vizinha
- discrepância do comprimento do membro inferior
- contratura da banda iliotibial
- espondilose lombar
- deformidade do joelho em valgo
- calçados de sola baixa
- pinçamento anatômico ou funcional do arco coracoacromial
Диагностические исследования
Исследования, которые показаны в первую очередь
- diagnóstico clínico
Исследования, проведение которых нужно рассмотреть
- coloração de Gram e cultura do líquido aspirado
- análise de cristais
- radiografia da região afetada
- RNM
- ultrassonografia
Алгоритм лечения
bursite asséptica
bursite séptica
Составители
Авторы
Nicola Maffulli, MD, MS, PhD, FRCS(Orth)
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
Раскрытие информации
NM is an author of a number of references cited in this topic.
Umile Giuseppe Longo, MD, MSc, PhD
Specialist in Orthopaedic and Trauma Surgery
Department of Orthopaedic and Trauma Surgery
Campus Bio-Medico University
Trigoria
Rome
Italy
Раскрытие информации
UGL is an author of a number of references cited in this topic.
Vincenzo Denaro, MD
Professor and Head of Orthopaedic and Trauma Surgery
Dean of the Faculty of Medicine
Campus Bio-Medico University
Trigoria
Rome
Italy
Раскрытие информации
VD declares that he has no competing interests.
Рецензенты
Steven C. Vlad, MD, PhD
Assistant Professor and Attending Physician of Rheumatology
Division of Rheumatology
Tufts Medical Center
Boston
MA
Раскрытие информации
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
Раскрытие информации
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.
Список литературы
Основные статьи
Alvarez-Nemegyei J, Canoso JJ. Evidence-based soft tissue rheumatology: III: trochanteric bursitis. J Clin Rheumatol. 2004 Jun;10(3):123-4. Аннотация
Alvarez-Nemegyei J, Canoso JJ. Evidence-based soft tissue rheumatology IV: anserine bursitis. J Clin Rheumatol. 2004 Aug;10(4):205-6. Аннотация
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. Аннотация
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.Полный текст Аннотация
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. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Meniscopatia medial
- Osteoartrite do compartimento medial
- Cisto de Baker
Больше Отличия
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