Orthopedics Book


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

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