Orthopedics Book

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Acute Olecranon Bursitis

Aka: Acute Olecranon Bursitis
  1. Mechanism
    1. Olecranon bursa overlies olecranon process
    2. Causes of acute olecranon bursa inflammation
      1. Direct trauma (often repetitive)
      2. Rheumatoid Arthritis
      3. Gout
      4. Pseudogout
  2. Symptoms and Signs
    1. Swelling over olecranon tip (usually painless)
    2. Bursa sac fills with blood or clear fluid
  3. Differential Diagnosis
    1. Chronic Olecranon Bursitis
    2. Olecranon Bursa Infection
    3. Uncommon conditions
      1. Systemic Sclerosis
      2. Systemic Lupus Erythematosus
      3. Hypertrophic pulmonary Osteoarthropathy
  4. Management: Preventing fluid reformation
    1. Ice applied to bursa for 20 minutes per hour
    2. Compression Dressing
    3. Refractory cases
      1. Olecranon Bursa Aspiration
      2. Consider Olecranon Bursa Injection
  5. Prognosis
    1. Many acute lesions subside spontaneously
  6. Complications
    1. Olecranon Bursa Infection
    2. Chronic Olecranon Bursitis

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