Elbow bursitis is more common in some middle-aged and elderly people. It is a good thing. Long-term and repeated friction on the protruding parts of the bone structure often shows synovial congestion and edema, or villous, and sometimes accompanied by bloody synovial fluid exudation. The impact and trouble caused to patients are also relatively large. Now some drug injection methods can be used to treat these diseases. 1. Symptoms and Signs 1. Traumatic bursitis is more common and chronic. It is often caused by long-term, repeated friction and pressure on protruding parts of bone structures. For example, thin elderly women who sit for a long time may develop ischial bursitis; workers in kneeling positions may develop prepatellar bursitis; shoes that are too tight may cause posterior heel bursitis, etc. The pathological manifestations are synovial congestion, edema, and villous appearance. The increase in synovial fluid and filling of the bursa can cause thickening and fibrosis of the bursa wall. Acute bursitis often occurs suddenly on the basis of chronic bursitis when the injury is of great force. May be accompanied by bloody synovial exudate. 2. Infectious bursitis: Pathogenic bacteria brought by the infected lesions can cause suppurative bursitis and cellulitis of the surrounding tissues. Sinus tracts often remain after rupture. 3. Gouty bursitis is prone to occur in the olecranon and prepatellar bursae. The bursa wall may undergo chronic inflammatory changes and lime-like precipitates may be deposited. 2. Medication Intracystic injection of hydrocortisone acetate has a better effect. The fluid in the bursa should be drained as much as possible first, and then hydrocortisone acetate should be injected. After the injection, a pressure bandage should be applied once a week for a total of 3 times. 3. Disease Diagnosis 1. Tuberculous bursitis can be a primary tuberculosis infection of the bursa or it can be secondary to nearby bone tuberculosis lesions. It often occurs in the greater trochanter of the femur. The onset is slow, and lumps and pain may gradually appear. The puncture fluid is purulent or cheesy, and the tuberculosis culture or animal inoculation is positive. 2. Rheumatoid bursitis often occurs in the heel and is often accompanied by other rheumatoid arthritis changes. |
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