Bursitis other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Other diagnostic studies for bursitis include aspiration of the bursal fluid. It | 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.<ref name="pmid9632407">{{cite journal| author=Stell IM, Gransden WR| title=Simple tests for septic bursitis: comparative study. | journal=BMJ | year= 1998 | volume= 316 | issue= 7148 | pages= 1877 | pmid=9632407 | doi= | pmc=28586 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9632407 }} </ref><ref name=Septic-olecranon-bursitis> 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.</ref> | |||
==Other diagnostic studies== | ==Other diagnostic studies== | ||
===Aspiration of the bursa=== | ===Aspiration of the bursa=== | ||
Aspiration of bursal fluids is recommended | Aspiration of bursal fluids for diagnostic purposes is recommended under the following conditions:<ref name="pmid9632407">{{cite journal| author=Stell IM, Gransden WR| title=Simple tests for septic bursitis: comparative study. | journal=BMJ | year= 1998 | volume= 316 | issue= 7148 | pages= 1877 | pmid=9632407 | doi= | pmc=28586 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9632407 }} </ref><ref>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.</ref><ref>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.</ref> | ||
*Septic bursitis | *Septic bursitis | ||
**Presence of local inflammation | **Presence of local inflammation | ||
**Fever | **Fever | ||
**Adjacent skin infection | **Adjacent skin infection | ||
*Crystal | *Crystal deposit disorders | ||
**History of [[gout]] and [[pseudogout]] | **History of [[gout]] and [[pseudogout]] | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | {| style="border: 0px; font-size: 90%; margin: 3px;" align=center | ||
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! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF| | ! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Types of bursitis}} | ||
! style="background: #4479BA; width: 450px;" | {{fontcolor|#FFF|Aspiration of bursal fluids}} | ! style="background: #4479BA; width: 450px;" | {{fontcolor|#FFF|Aspiration of bursal fluids}} | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Septic]] bursitis''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Septic]] bursitis''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*[[white blood cell|White blood cell count (WBC)]] greater than | *[[white blood cell|White blood cell count (WBC)]] greater than 100,000/µL with a predominance of neutrophils | ||
*High [[protein]] and [[lactate]] level | *High [[protein]] and [[lactate]] level | ||
*Low glucose level | *Low glucose level | ||
| Line 29: | Line 30: | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Aseptic]] bursitis''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Aseptic]] bursitis''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*[[white blood cell|White blood cell count (WBC)]] | *[[white blood cell|White blood cell count (WBC)]] range from 2000 to 100,000/µL | ||
*Normal [[protein]] and [[lactate]] level | *Normal [[protein]] and [[lactate]] level | ||
*Normal or low glucose level | *Normal or low glucose level | ||
| Line 40: | Line 41: | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[pseudogout]]''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[pseudogout]]''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Positive calcium pyrophosphate crystals | *Positive calcium pyrophosphate crystals | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[rheumatoid arthritis]]''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[rheumatoid arthritis]]''' | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Rheumatology]] | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:46, 29 July 2020
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Bursitis Microchapters |
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Bursitis other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Bursitis other diagnostic studies |
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Risk calculators and risk factors for Bursitis other diagnostic studies |
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
- History of gout and pseudogout
| Types of bursitis | Aspiration of bursal fluids |
|---|---|
| Septic bursitis |
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| Aseptic bursitis |
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| Bursitis associated with gout |
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| Bursitis associated with pseudogout |
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| Bursitis associated with rheumatoid arthritis |
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References
- ↑ 1.0 1.1 Stell IM, Gransden WR (1998). "Simple tests for septic bursitis: comparative study". BMJ. 316 (7148): 1877. PMC 28586. PMID 9632407.
- ↑ 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.
- ↑ 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.
- ↑ 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.