Orthopedics Book

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Chronic Olecranon Bursitis

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  1. Mechanism
    1. Olecranon bursa overlies olecranon process
    2. Chronic Trauma results in inflammatory reaction
  2. Symptoms and Signs
    1. Thickened and rubbery bursa
    2. Non-painful
    3. Multiple small, hard Nodules on palpation
      1. Villous thickenings of bursa
  3. Management
    1. Aspiration usually not helpful
    2. Incision contraindicated (risk of infection)
    3. Surgery to excise bursa
      1. Indicated for chronic bursa pain
  4. Prognosis
    1. Bursa usually dries up spontaneously

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