Saturday, January 29, 2011

Bursitis Signs and symptoms

Bursitis

    
* Introduction
    
* Pathogenesis and causes
    
* Signs and symptoms
    
* Diagnosis
    
* Treatment

Signs and symptoms
Bursitis affects mostly subacromiale scholarships, olecraniene, trochanteric, and infrapatelare prepatellar. Symptoms of bursitis include localized tenderness, swelling, redness and reduce movement. Bursitis Chronic pain leads to further weakening ligementelor and tendons and cause them to rupture. Due to adverse effects on adjacent structures chronic bursitis, bursitis and tendinitis occur together. Patients with bursitis shows the history of joint movement and pain at rest. If the scholarship is located superficially observed edema, local heat, redness, tenderness. Joint movement is kept limited to infectious bursitis in other types. Patients may present with fever and septic bursitis associated local cellulitis.
Patient history should include: -Localized tenderness, decreased range of motion or pain on movement -Erythema and edema in superficial bursitis -History of repetitive movements or bursitis prepatellar infrapatelara Historical-inflammatory disease rheumatoid arthritis, systemic lupus erythematosus Historical trauma.
Subacromiala crashed (subdeltoidiana). Scholarship subacromiala acromiom and capacity is between cuff. Sunacromiala bursitis due to supraspinatus tendonitis is associated with inflammation extending from one structure to another. Repetitive activities with his arm raised stock causes inflammation. ACTIVITIES incriminating baseball and stretches his arms hung. More rarely a primary process such as rheumatoid arthritis, gout, or tuberculosis may lead to bursitis.
Olecranon bursitis. Posterior olecranon bursa lies between the olecranon and the skin that covers it. Because it is frequently traumatized superficial. Skin and adjacent tissue trauma is a common site for bursitis olecranon infectious. Increases the risk of septic bursitis in patients with chronic diseases. Olecranon bursitis is seen in students, dialysis, chronic obstructive pulmonary disease. Nontraumatic causes include gout, pseudogout, rheumatoid arthritis and uremia. When inflamed bursa is evident that a prominent posterior olecranon fluctuating. Pain sensitivity increases as flexion increases tension.
Bursitis iliopsoasului. Iliopsoasului Exchange, the largest in the body, located between the tendon and iliopsoasului small trochanter, extending over the iliac muscle. Bursitis iliopsoasului thigh is associated with pathology: Rheumatoid arthritis, osteoarthritis or injuries in recreational running. Infection is rare scholarship. The pain radiates to the front knee until thigh anteromediala and is increased in extension and internal rotation of the thigh adductie. Typically the pain is worse in a few weeks or months, and is currently the only symptom. Sensitivity appears inguinal ligament and lateral femoral artery. Occasionally you can feel a mass or swelling is visible. Are the inserted femoral artery pulsations of the mass. Extension abdominal or pelvic retroperitoneal determine the mass causing compression syndromes femoral vein compression inguinal, femoral or pelvic neuropathy.
Bursitis trohanteriana. This is a superficial and a deep component. Bursa is located between the superficial fascia lata and skin, and deep between the greater trochanter and fascia lata. Patients are mostly women, 4-6 decade of life. Runners and ballet dancers develop deep bursitis by convention. The disease is associated with rheumatoid arthritis of the hip, osteoarthritis, lumbosacral disease and leg length discrepancies fixed. Chronic patients experience pain in cramps, intermittent side in the balance. In 40% of the cases radiate down the side. Walking and asezatul exacerbates pain on the affected side. The sitting position is on local sensitivity greater trochanter. Adductia thigh pain is reproduced or abduction.
Bursitis ischiadic. Scholarship ischiadic ischiadic tuberosity lies between gluteus muscle and a cover. Inflammation occurs with trauma, prolonged sitting position on a hard surface. Pain radiates to groin and mimic sciatica. Pain is reproduced by pressure on ischiadic tuberosity.
Bursitis prepatellar. Prepatellar Bursa lies between the patella and the skin. Inflammation occurs secondary trauma or constant friction. Bursitis develops 10 days after a fall. Rheumatoid arthritis and gout can be causes. Superficial location of the exchange allows easy introduction of microorganisms and septic arthritis. Prepatellar bursitis is seen as a swelling warm, well-circumscribed, fluctuent the inferior pole of patella. Knee flexion increases tension and pain.
Bursitis infrapatelara. Scholarship infrapatelara divides into superficial and deep component. Superficial component lies between the skin and the patellar ligament and patellar ligament between the deep and anterior proximal tibia. Bursitis infrapatelara priest or knee bursitis is located distal ingenunchierea prepatellar and is determined by frequency. It can be seen in gout and syphilis. Clinic patients experience pain at extreme flexion and extension. Edema is located on both sides of the patellar tendon.
Anserina bursitis. Bursa anserina separate tendon insertion Sartorius, gracilis and semitendinos tibial plateau. Anserina name appeared as edematous stock, retained the three tendons of the foot looks Goose. Heavy and prone to repetitive friction bursitis. Patients are obese, elderly women with a history of osteoarthritis of the knees. It is associated with type 2 diabetes. Other risk factors include long distance running, knee valgus and excessive external rotation of the shank. Septic bursitis anserina is never. Sensitivity is present on the front knee medial tibial tubercle to 5 cm. It is this swelling or local heat. The pain radiates to the medial joint line. It is exacerbated by climbing stairs.
Calcaneal bursitis. At the insertion of the Achilles tendon are two scholarships. The surface is located between the skin and tendon, and between the calcaneus and the deep tendon. Calcaneal bursa can become inflamed in patients with spurs calcanieni wearing shoes or tight-fit. Achille tendonitei secondary inflammation occurs especially in young athletes. Patients have tenderness or Achilles tendon previous scholarship on the medial and lateral faces. Introduce dorsiflexie pain aggravated by movement.

1 comment:

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