Acute Olecranon Bursitis


Acute Olecranon Bursitis, Olecranon Bursitis, Miner's Elbow, Student's Elbow, Draftsman's Elbow

  • Mechanism
  1. Olecranon bursa overlies olecranon process
  2. Causes of Acute Olecranon Bursitis
    1. Direct Trauma (often repetitive)
    2. Hemodialysis patients in arm with fistula (likely due to Dialysis arm suppport)
    3. Rheumatoid Arthritis
    4. Gout
    5. Pseudogout
  • Signs
  1. Swelling over olecranon tip (usually painless, non-tender)
    1. No redness, warmth, limited range of motion or other signs of Septic Olecranon Bursitis
  2. Bursa sac fills with blood or clear fluid
  • Management
  • Preventing fluid reformation
  1. Ice applied to bursa for 20 minutes per hour
  2. Compression Dressing
  3. Avoid provocative activity (e.g. leaning on elbows)
  4. Refractory cases
    1. Olecranon Bursa Aspiration (risks of infection, fistula tract)
    2. Consider Olecranon Bursa Injection
  • Prognosis
  1. Many acute lesions subside spontaneously