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==Other diagnostic studies==
==Other diagnostic studies==
===Aspiration of the bursa===
===Aspiration of the bursa===
Aspiration of bursal fluids is recommended in 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>
Aspiration of bursal fluids is recommended in 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>
*Septic bursitis
*Septic bursitis
**Presence of local inflammation  
**Presence of local inflammation  
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| 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 5000 to 20,000 mm3 with left shifts
*[[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  
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| 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)]] <500 mm3
*[[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

Revision as of 20:00, 29 August 2016

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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 study for bursitis include aspiration of the bursal fluid. Aspiration of bursal fluids is not recommended in the management of all types of bursitis. It is usually reserved for patients with superficial bursitis.[1]

Other diagnostic studies

Aspiration of the bursa

Aspiration of bursal fluids is recommended in following conditions:[1][2]

  • Septic bursitis
    • Presence of local inflammation
    • Fever
    • Adjacent skin infection
  • Crystal deposite disorders
Types of bursitis Aspiration of bursal fluids
Septic bursitis
Aseptic bursitis
Bursitis associated with gout
Bursitis associated with pseudogout
  • Positive calcium pyrophosphate crystals positive
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. 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.


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