elbow OLECRONON BURSITIS
DEFINITION:
- Inflammation of the small, fluid filled sac lying over the end of the elbow also known as the olecronon process. (See illustration).
MECHANISM OF INJURY / HOW IT OCCURS:
- Can be a result of a direct impact on the elbow such as occurs during a fall in a sporting activity.
- Can also occur from friction on the tip of the elbow.
SYMPTOMS:
- Individuals will complain of pain over the end of the elbow
- Swelling and difficulty moving the elbow without discomfort will be noted.
DIAGNOSIS:
- Physical examination will reveal a swollen, tender elbow.
- May also note redness and warmth, signs of infection.
- Radiographic studies such as plain x-rays are helpful to evaluate for possible fracture or foreign body. Magnetic resonance imaging (MRI) may be utilized to further evaluate the soft tissues around the elbow.
TREATMENT/REHABILITATION:
- Rest, ice, compression, and anti-inflammatory medications (NSAIDs) are initial treatment modalities.
- Aspiration is indicated if findings persist or if signs of infection are present.
- Corticosteroid injection may be considered to reduce inflammation.
- Surgery is rarely indicated but may be required for persistent symptoms or infection.