The dorsal portion of the ulna is known as the olecranon and is covered by a synovium lined sac known as the olecranon bursa.
The dorsal portion of the ulna is known as the olecranon and is covered by a synovium lined sac known as the olecranon bursa. Olecranon bursitis is known as student’s elbow, businessman’s elbow, hemodialysis elbow, and many other pseudonyms. Fluid accumulation, known as olecranon bursitis, is common with upwards of 10 cases per 100,000 patients (Joon Yub Kim, 776-783).
The olecranon bursa is at risk for infection due to hits superficial location. Due to the challenge differentiating septic and nonseptic olecranon bursitis, we performed a review on the diagnosis and management of olecranon bursitis. Definition & Pathophysiology Patients who present with olecranon bursitis typically report a history of elbow trauma, history of inflammatory condition, trauma, or have a pre-existing medical condition that has led to a degree of immunosuppression.
Two conditions associated with olecranon bursitis are rheumatoid arthritis and gout. The olecranon is typically distended on one side and can be tender in upwards of 45% of aseptic olecranon bursitis cases. Olecranon bursitis is typically nonseptic and is seen frequently in football players who play on artificial turf.
The challenge is that 1/3 of the cases of olecranon bursitis can be septic. Of the septic bursa cases, there is a male predominance. Risk factors for developing a septic joint are impaired immunity, diabetes mellitus, CKD, chronic steroid use, and malignancy.
It is difficult to differentiate nonseptic from septic olecranon bursitis based on clinical exam alone. Both conditions will typically present with bursa swelling, redness, and pain to palpation. Pain with elbow motion does not suggest septic bursitis, as a large nonseptic bursa can cause pain due to peri-bursal pressures.
If you are experiencing symptoms that may be related to treatment algorithm for olecranon bursitis, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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