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Acute Olecranon Bursitis
Aka: Acute Olecranon Bursitis, Olecranon Bursitis, Miner's Elbow, Student's Elbow, Draftsman's Elbow
- See Also
- Chronic Olecranon Bursitis
- Septic Bursitis
- Bursitis
- Mechanism
- Olecranon bursa overlies olecranon process
- Causes of Acute Olecranon Bursitis
- Direct Trauma (often repetitive)
- Hemodialysis patients in arm with fistula (likely due to Dialysis arm suppport)
- Rheumatoid Arthritis
- Gout
- Pseudogout
- Signs
- Swelling over olecranon tip (usually painless, non-tender)
- No redness, warmth, limited range of motion or other signs of Septic Olecranon Bursitis
- Bursa sac fills with blood or clear fluid
- Differential Diagnosis
- Chronic Olecranon Bursitis
- Olecranon Bursa Infection
- Uncommon conditions
- Systemic Sclerosis
- Systemic Lupus Erythematosus
- Hypertrophic pulmonary Osteoarthropathy
- Management: Preventing fluid reformation
- Ice applied to bursa for 20 minutes per hour
- Compression Dressing
- Avoid provocative activity (e.g. leaning on elbows)
- Refractory cases
- Olecranon Bursa Aspiration (risks of infection, fistula tract)
- Consider Olecranon Bursa Injection
- Prognosis
- Many acute lesions subside spontaneously
- Complications
- Olecranon Bursa Infection
- Chronic Olecranon Bursitis
- References
- Khodaee (2017) Am Fam Physician 95(4): 224-31 [PubMed]