bursitis

Question 1

what is olecranon bursitis

Answer 1

inflammation of olecranon bursa (uid-filled sac overlying the olecranon process at the proximal end of the ulna)

Question 2

cause of bursitis

Answer 2

trauma
* repetitive trauma
* direct trama

infection - staph aureus
RA / gout
idiopathic

Question 3

features of bursitis

Answer 3

swelling over olecranon process - fluctuent and well circumscribed
tenderness
erythema

septic - pain and fever

skin abrasion

movement of elbow painless until swollen bursa is compressed in full flexion

Question 4

ix for bursitis

Answer 4

clinical
aspiration for MCS if concern about septic
* purulent -> infection
* straw coloured -> non-infectious

Question 5

mx of bursitis

Answer 5

avoid trigger
ice
compression to support area
elevate above heart -> reduce swelling

medical
* NSAIDS
* aspiration
* steroid inhections - persistent and non-septic cases - complication - infection and tendon rupture

surgery if -
* septic and not responding to rx
* recurrent -> functional impairment