Olecranon bursitis (nonseptic): Difference between revisions
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*FROM | *FROM | ||
*Negative axial load | *Negative axial load | ||
==Workup== | |||
*Xrays if trauma, may consider for all to r/o bone spur as causative agent (although not emergent) | |||
*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref> | |||
*If any signs of infection, must aspirate to r/o [[septic bursitis]] | |||
*If no signs of infection: | |||
**May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref> | |||
**Some sources suggest aspiration for all cases | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Elbow DDX}} | {{Elbow DDX}} | ||
==Management== | ==Management== | ||
*Avoid trauma and excessive pressure | *Acute | ||
* | **Avoid trauma and excessive pressure | ||
*Chronic = | **RICE & NSAIDs | ||
*Chronic = surgery | |||
==See Also== | ==See Also== | ||
Revision as of 18:30, 29 September 2014
Background
- Inflamation of the bursal cavity superficial to the olecranon
- Can can occur with or without infection
- Also known as "student's elbow" or "baker's elbow"
- Often caused by repeated minor trauma from external pressure to elbow
- There is controversy regarding initial diagnosis and treatment[1]
Diagnosis
- Bursal fluid on exam
- Non-erythematous
- FROM
- Negative axial load
Workup
- Xrays if trauma, may consider for all to r/o bone spur as causative agent (although not emergent)
- Initial aspiration is controversial[2]
- If any signs of infection, must aspirate to r/o septic bursitis
- If no signs of infection:
- May consider initial conservative (no aspiration) treatment for several days[3]
- Some sources suggest aspiration for all cases
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Management
- Acute
- Avoid trauma and excessive pressure
- RICE & NSAIDs
- Chronic = surgery
See Also
Source
- ↑ Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787
- ↑ Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787
- ↑ Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787