Four common types of bursitis: diagnosis and management

J Am Acad Orthop Surg. 2011 Jun;19(6):359-67. doi: 10.5435/00124635-201106000-00006.

Abstract

Bursitis is a common cause of musculoskeletal pain and often prompts orthopaedic consultation. Bursitis must be distinguished from arthritis, fracture, tendinitis, and nerve pathology. Common types of bursitis include prepatellar, olecranon, trochanteric, and retrocalcaneal. Most patients respond to nonsurgical management, including ice, activity modification, and nonsteroidal anti-inflammatory drugs. In cases of septic bursitis, oral antibiotics may be administered. Local corticosteroid injection may be used in the management of prepatellar and olecranon bursitis; however, steroid injection into the retrocalcaneal bursa may adversely affect the biomechanical properties of the Achilles tendon. Surgical intervention may be required for recalcitrant bursitis, such as refractory trochanteric bursitis.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Ankle Joint*
  • Bursitis / diagnosis*
  • Bursitis / therapy*
  • Diagnosis, Differential
  • Hip Joint*
  • Humans
  • Knee Joint*
  • Shoulder Joint*