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Updated: June 21, 2025
The bursa between the psoas muscle and the capsule of the hip-joint may be the seat of tuberculous disease, and give rise to clinical features not unlike those of disease of the hip-joint.
However, the term should be restricted to use in reference to distensions of synovial structures of that region. Etiology and Occurrence. Usually there occurs a hygromatous involvement of the subcutaneous bursa due to contusion. In feeding pens where numbers of young mules are kept in crowded quarters many cases may be observed. Symptomatology.
The treatment consists in the wearing of properly fitting boots and stockings, and, if the symptoms persist, the corn should be removed. This is done after the manner of chiropodists by digging out the corn with a suitably shaped knife. A more radical procedure is to excise, under local anæsthesia, the portion of skin containing the corn and the underlying bursa.
The clinical features are those of an indolent hydrops, with or without melon-seed bodies, or of uniform thickening of the wall of the bursa; the tuberculous granulation tissue may break down into a cold abscess, and give rise to sinuses.
The scholar's aim was to find some school, having attached to it a Bursa or hostel, in which they could obtain quarters; apparently he was not yet qualified for a university. They made their way to Bamberg, but there was no room for them in the Bursa.
Astrakhan, Karizme, Delhi, Ispahan, Bagdad, Aleppo, Damascus, Bursa, Smyrna, and a thousand others were sacked or burned or utterly destroyed in his presence and by his troops; and perhaps his conscience would have been startled if a priest or philosopher had dared to number the millions of victims whom he had sacrificed to the establishment of peace and order.
An adventitious bursa forms over the acromion process in porters and others who carry weights on the shoulder, and may be the seat of traumatic bursitis.
Whether spavin has its point of origin within the articulation as a rarefying ostitis of the cancellated structure of the lower tarsal bones as suggested by Eberlein; or, as Diekerhoff asserts, that the cunean bursa may be the initial point of affection, is unsettled; but it is reasonable to consider occult spavin as having its origin within the articulation, and that cases readily yielding to cunean tenotomy are primarily due to affection of the cunean bursa.
An acute inflammation of a small bursa may even result in the destruction of such synovial apparatus without serious inconvenience to the subject, either at the time of destruction or thereafter. Obliteration of the superficial bursa over the summit of the os calcis is not likely to cause serious inconvenience or distress to the subject unless it be due to an infected wound.
In miners, who work for long periods lying on the side, the muscle may be paralysed by direct pressure on the terminal filaments of the nerve, and the nerve may also be involved as a result of disease in the sub-deltoid bursa. The deltoid is wasted, and the acromion unduly prominent. In recent cases paralysis of the muscle is easily detected.
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