M71.13

Clinical Causes: Bacterial infection following a cut, puncture wound, or skin injury near the wrist Skin infections that spread to the bursa Repeated trauma or friction to the wrist that introduces bacteria Inoculation during medical procedures or injections near the wrist Underlying infections in the bloodstream that spread to the bursa

Key Symptoms: Swelling around the wrist joint Localized warmth and redness over the affected area Persistent or increasing pain in the wrist Limited range of motion or stiffness in the wrist Possible fluid-filled swelling or lump at the site Fever and general feeling of malaise in some cases

Diagnosis Path: Diagnosis of infective bursitis involves a combination of medical history review, physical examination, and diagnostic tests. The healthcare provider may look for signs of infection and inflammation in the wrist. Specific tests include: - Aspiration of the bursa to analyze the fluid for bacteria, white blood cells, or other pathogens. - Imaging studies such as ultrasound or MRI to assess the extent of inflammation or any other abnormalities. - Blood tests to detect signs of systemic infection or inflammation. A definitive diagnosis relies on identifying infectious organisms within the bursal fluid or tissue samples.

Treatment Protocols: Treatment strategies focus on eliminating the infection, reducing inflammation, and preserving wrist function. They may include: - Antibiotic therapy tailored to the infectious organism identified. - Draining the infected bursa through aspiration or, in some cases, surgical removal. - Resting the wrist and avoiding activities that exacerbate the condition. - Applying ice packs to reduce swelling and pain. - Analgesics to manage discomfort. - In recurrent or severe cases, surgical intervention may be necessary to remove the infected bursa or debride necrotic tissue. Following treatment, physical therapy may be recommended to restore strength and mobility in the wrist.