M71.139

Clinical Causes: Bacterial contamination from skin cuts, wounds, or punctures near the wrist Spread of infection from nearby skin or soft tissues Repeated trauma or friction to the wrist that predisposes to infection Presence of pre-existing skin infections or boils near the joint Invasive procedures or injections in the wrist area Weakened immune system increasing susceptibility to infection

Key Symptoms: Swelling around the wrist joint Pain or tenderness when touching or moving the wrist Redness and warmth over the affected area Limited range of motion or stiffness Possible fever and general malaise in more severe infections Sometimes, discharge or pus may be visible if the bursae rupture or abscess forms

Diagnosis Path: Healthcare providers often diagnose infective bursitis through a combination of physical examination and medical history. Key diagnostic steps include: - Visual and physical assessment for swelling, redness, and tenderness - Imaging tests such as ultrasound or MRI to evaluate the bursae and rule out other causes - Aspiration of fluid from the swollen bursa for laboratory analysis, including Gram stain, culture, and sensitivity testing, to identify the infective organism - Blood tests to detect signs of systemic infection or inflammation

Treatment Protocols: Treatment strategies focus on eradicating the infection, reducing inflammation, and restoring wrist function. Common approaches include: - Antibiotic therapy tailored to the identified microorganism - Drainage of infected bursae if a significant abscess or fluid buildup is present - Rest and immobilization of the wrist to facilitate healing - Anti-inflammatory medications to reduce pain and swelling - Surgical intervention in resistant or severe cases, such as bursectomy (removal of the bursa) Patients are advised to follow prescribed treatments and attend follow-up appointments to monitor progress and prevent recurrence.