Which test is used to evaluate bursitis?

• A. Doppler ultrasonography
• B. Nerve conduction velocity testing
• C. Electrocardiogram
• D. Radiography

Answer: (D)

Imaging to evaluate bursitis focuses on what’s causing the symptoms and ruling out other conditions that mimic bursitis, as well as checking for calcium deposits or bone involvement. Radiography is useful because it can reveal calcific bursitis if calcium deposits are present and can show adjacent bone changes or joint pathology that could imitate or accompany bursitis. It also serves as a first-line test to rule out fractures or significant arthritis that would change management.

Doppler ultrasonography is mainly used to assess blood flow and vascular issues, not the primary tool for detecting bursal inflammation. Nerve conduction velocity testing evaluates nerve function and is used for entrapment or neuropathies. An electrocardiogram assesses heart rhythm and is not related to evaluating a musculoskeletal bursitis. While ultrasound can directly visualize a swollen bursa and fluid, radiography remains the best match among the given options for initial evaluation in this context.