8. Joint Disorder: Bursitis

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8 Terms

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Bursitis

Inflammation of the fluid-filled bursa sac.

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Pathophysiology

Repetitive motion or trauma → Inflammation of bursa → swelling and pain

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Signs and Symptoms

  • Localized swelling

  • warmth, tenderness

  • Decreased Range of Motion

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Risk Factors

  • Kneeling (house keeping, gardening)

  • Secondary to Gout or Rheumatoid Arthritis

  • Repetitive motion (atheletes)

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Diagnostics

  1. Clinical Exam

  2. Ultrasound : for bursal fluid visualization

  3. Aspiration: Rule out infection (septic bursitis)

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Nursing Management

  1. Rest and Ice

  2. Avoid pressure on joint

  3. use padding

  4. monitor for signs of infection

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Pharmacologic Treatment

  1. NSAIDs: Reduce inflammation and pain

  2. Steroid Injection: Local anti-inflammatory effect

  3. Antibiotics: For septic bursitis (culture-guided)

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Surgical Interventions

🔪 Bursectomy

  • Indication: Chronic, recurrent bursitis not responsive to medications

  • Purpose: Surgical removal of inflamed bursa

  • Post-op: Elevation, limited joint use temporarily, monitor for signs of infection