Calcific Bursitis

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Medical Author:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Medical Editor:

Catherine Burt Driver, MD

Catherine Burt Driver, MD

Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.

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A bursa is a thin fluid-filled sac that reduces friction forces between tissues of the body. Chronic (repeated or long-standing) inflammation of the bursa (bursitis) can lead to calcification of the bursa. This is referred to as "calcific bursitis." The calcium deposits (calcification) can occur as long as the inflammation is present and remain after it has resolved. Calcific bursitis occurs most commonly at the shoulder (in the bursa adjacent to the rotator cuff tendons) or hip (in the bursa at the greater trochanter).

Calcific bursitis often has no direct cause that is identified and likely occurs in this setting after unnoticed strain of a joint caused local inflammation of the bursa (bursitis). Risk factors for developing calcific bursitis include joint injury (trauma) and underlying diseases such as ankylosing spondylitis and calcium pyrophosphate dehydrate deposition disease (pseudogout).

Calcific bursitis may not cause any symptoms once the inflammation has subsided. Calcific bursitis typically leads to chronic pain, stiffness, and sometimes limited range of motion of the affected joint with use or when examined.