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- A bursa is a sac that is formed or found in areas subject to friction, such as locations where tendons pass over bony landmarks.
- Most common sites are:
- Bursae essentially lubricate the region with synovial fluid.
- Large bursae usually communicate with joints and are responsible for retaining synovial fluid in place.
- Bursae are fluid-filled sacs that serve as a cushion between tendons and bones.
- E.G. Bywaters, an English rheumatologist, found at least 78 bursae symmetrically placed on each side of the body.
- System(s) affected: Musculoskeletal
Bursitis is less common in the pediatric population.
- 15–50 years (most common in skeletally mature)
- Traumatic bursitis more likely in patients <35 years of age
- Trochanteric pain: 1.8/1,000 per year (1)
- Individuals who engage in repetitive and vigorous training or others who suddenly increase their level of activity (e.g., “weekend warriors”)
- Leg length discrepancy and a Trendelenburg gait increase risk for trochanteric bursitis.
- Appropriate warm-up and cool-down maneuvers, avoidance of overuse, or inadequate rest between workouts
- Range-of-motion (ROM) exercises
- Maintain high level of fitness and general good health.
- Bursitis may be acute or chronic.
- Many types of bursitis, including infectious, traumatic, and inflammatory
- Less often rheumatoid disease or tuberculosis, as well as gout and pseudogout
Commonly Associated Conditions
- Sprains, strains
- Associated stress fractures
- Tight or deconditioned muscles