Orthopedics Book

http://www.fpnotebook.com/

Olecranon Bursa Aspiration

Aka: Olecranon Bursa Aspiration, Olecranon Bursa Injection
  1. Indications: Refractory to Conservative Measures
    1. Acute Olecranon Bursitis
    2. Chronic Olecranon Bursitis
    3. Olecranon Bursa Infection (aspiration only)
  2. Aspiration of bursa fluid (Posterolateral triangle)
    1. Avoid if possible
      1. Risk of infection
      2. Risk of fistula formation
    2. Technique
      1. Patient supine with elbow flexed
      2. Mark area of maximal fluctuance for skin entry
      3. Aspirate with 22 gauge 1 inch needle
      4. Drain fluid
      5. Apply pressure dressing after aspiration
  3. Corticosteroid Injection
    1. Indication: Refractory to conservative measures
      1. Acute or chronic bursa inflammation
    2. Contraindications to Corticosteroid Injection
      1. Olecranon Bursa Infection
    3. Technique
      1. Always exclude Olecranon Bursa Infection first
      2. Use technique as under aspiration listed above
      3. Needle: 25 gauge, inch with 5 cc syringe
      4. Injection solution
        1. Lidocaine 1% 2 cc
        2. Corticosteroid options
          1. Methylprednisolone (40 mg/ml): 1 ml or
          2. Celestone Soluspan (3 mg/ml): 1 ml

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree