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OLECRANON BURSITIS
What is it?
The olecranon bursa is located on the elbow, and can become
irritated and inflamed from a traumatic blow experienced
or simply from being rubbed the wrong way. Sometimes it flares
up from repetitive flexion- extension activity to the elbow;
this can cause pain from the constant rubbing of the skin
over the bursa. Swelling and hemorrhage develop within the
bursal sac, producing pain and stiffness posteriorly.
Signs and Symptoms
The signs and symptoms are relatively straight forward, upon
clinical examination swelling and tenderness over the olecranon
bursa will be noticed. Erythema is often inspected for to
be sure that an infectious bursitis isn't present. The doctor
will also rule out the infection being the reason for the
bursitis, if the pain is extremely severe and there isn't
any history of trauma.
Treatment
Usually the initial treatment of olecranon bursitis includes
compression and ice application to reduce the swelling and
inflammation. Sometimes the use of a sling or splint is required
to keep the elbow immobilized. After the swelling has canned
a bit aspiration via syringe is sometimes helpful. If aspiration
is performed it is done very carefully, using all sterile
techniques. It's important that it be done carefully because
of the poor blood supply to this area which could result
in infection rather easily.
For athletes that attain this problem when returning to sport
the area should be protected rather well with some sort of
padding.
In few cases surgery is done on the olecranon bursa to excise
the bursa, that is cut it or release the tension.
Prognosis
Patients with this bursitis tend to do very well with the
conservative treatment, and as previously stated only few
patients ever tend to need surgical intervention. Those patients
are usually the unfortunate few whom have chronic or recurrent
olecranon bursitis. In general it is very curable and relatively
well treatment receptive.
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