Bolus of LR: Olecranon Bursitis

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December 7, 2012 by dailybolusoflr

·       Although there are many bursae in the elbow, the olecranon bursa is the one most commonly involved in pathological problems
·    Etiology: repetitive minor trauma (most common) or inflammatory processess such as gout or infection
·    Septic olecranon bursitis often presents with a more erythematous, warm and swollen area over the olecranon while non-septic bursitis presents with a less acute onset of pain, tenderness and swelling
o   Cellulitis can be seen overlying the area as well as skin breakdown.  This should be more suspicious for a septic bursitis
·      If concern exists for septic bursitis, aspiration of the bursa should be performed
·    For non-septic bursitis, aspiration of the bursa can provide symptom relief.  Patients should be treated conservatively with a compressive bandage, ice and NSAIDs as well as avoidance of the inciting event
·For septic bursitis, aspiration of the bursa, antibiotics to cover MRSA to start and disposition based on the severity of their illness and co-morbid complaints
Ref: Rosen’s 7th ed

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