Diagnostic Evaluation of Olecranon Bursitis

Imaging Guidance

Ultrasound can be employed to facilitate accurate aspiration of the olecranon bursa, providing real‑time visualization of the fluid collection and needle trajectory. This recommendation is supported by evidence from the Journal of the American College of Radiology (2017) 4.

Comprehensive bursal fluid analysis should include a cell count with differential, Gram stain, and culture with sensitivity testing to reliably differentiate septic from non‑septic bursitis. These components are endorsed by the Journal of the American College of Radiology (2017) 4.
When crystal arthropathy is suspected, crystal analysis of the aspirated fluid should be performed to identify gout or pseudogout as the underlying cause. This guidance is also derived from the Journal of the American College of Radiology (2017) 4.