Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

Featured on Channel NewsAsia

Hemorrhagic Bursitis

The usual cause of bleeding into a bursa is a direct impact such as a fall. It may also be caused indirectly by tendon rupture or by bleeding within a joint to which the bursa is connected. Blood within the bursa causes chemical irritation, and in severe cases, may clot and cause adhesion of connective tissue and loose bodies (calcifications). Once this has occurred, chronic inflammation is likely to ensue.

Location

Hemorrhagic bursitis occurs frequently in.players whose sports require them to make repeated contact with a hard surface or object, e.g. team handball and volleyball players. Apart from those in the foot, bursae anterior to the patella, greater trochanter of the femur, the elbow, and above the  supraspinatus tendon may
be affected.

Symptoms and diagnosis

In cases of acute injury, a hemobursa is suggested by the following signs and symptoms:
– swelling of the bursa as it fills with blood;
– extreme tenderness;
– pain and impaired function of the part in question;
– sometimes redness and damage to the skin.

Treatment

When a hemobursa occurs, the athlete or trainer should:
– cool the area in order to control bleeding;
– apply a compression bandage;
– rest the affected part.

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