Olecranon bursitis (nonseptic)

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

Diagnosis

• Bursal fluid on exam
• Non-erythematous
• FROM
• Negative axial load

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

• Distal humerus fracture
• Radial head fracture
  • Essex-Lopresti 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

• Avoid trauma and excessive pressure
• Ace wrap & NSAIDs
• Chronic = surg

See Also

• Bursitis
• Elbow Diagnoses