Gouty bursitis involving the olecranon and prepatellar areas
is the most common.
These cases of gouty bursitis usually have uric acid
crystals present within the fluid. Gout crystals within the fluid are needle
shaped and negatively bifringent. The presence of crystals within the bursa
does not exclude the presence of infection. The fluid WBC is usually lower
within the bursa that anticipated in the joints.
Gouty bursitis of the olecranon bursa is treated by
aspiration. A white chalky material is seen coming from the olecranon bursa.
Gouty bursitis of the prepatellar bursa is treated by
excision.