Bursitis other diagnostic studies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Other diagnostic studies for bursitis include the aspiration of the bursal fluid. Aspiration of bursal fluids is not recommended for the diagnosis of all types of bursitis. It is usually reserved for patients with superficial bursitis.[1][2]

Other diagnostic studies

Aspiration of the bursa

Aspiration of bursal fluids for diagnostic purposes is recommended under the following conditions:[1][3][4]

  • Septic bursitis
    • Presence of local inflammation
    • Fever
    • Adjacent skin infection
  • Crystal deposit disorders
Types of bursitis Aspiration of bursal fluids
Septic bursitis
Aseptic bursitis
Bursitis associated with gout
Bursitis associated with pseudogout
  • Positive calcium pyrophosphate crystals
Bursitis associated with rheumatoid arthritis
  • Positive cholesterol crystals

References

  1. 1.0 1.1 Stell IM, Gransden WR (1998). "Simple tests for septic bursitis: comparative study". BMJ. 316 (7148): 1877. PMC 28586. PMID 9632407.
  2. Shell, Donald, Rob Perkins, and Andrew Cosgarea. "Septic olecranon bursitis: recognition and treatment." The Journal of the American Board of Family Practice 8.3 (1995): 217-220.
  3. Hasselbacher, P. "Arthrocentesis, synovial fluid analysis, and synovial biopsy." Schumacher HR, Klippel JH, Koop man WJ, eds. Primer on the rheumatic diseases. Atlanta, GA: Arthritis Foundation (1993): 67-72.
  4. Shell, Donald, Rob Perkins, and Andrew Cosgarea. "Septic olecranon bursitis: recognition and treatment." The Journal of the American Board of Family Practice 8.3 (1995): 217-220.

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