Olecranon Bursitis
What is it?
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A bursa is a small, thin fluid filled sac which prevents friction between structures.
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Normally the bursa remains flat, but if irritated more fluid will accumulate and cause bursitis.
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It can be caused by direct trauma, or prolonged pressure e.g. leaning on the elbow.
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Other medical conditions which are associated with olecranon bursitis are rheumatoid arthritis and gout.
Typical Symptoms/features:
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Swelling of the bursa on the point of the elbow.
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Pain with direct pressure e.g. leaning on the elbow.
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If swelling is severe this may lead to restriction in elbow movement.
Management:
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Activity modification
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Ice or heat.
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Pain relief.
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Physiotherapy including range of movement exercises and a graded strengthening programme.
Do I need imaging?
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Imaging (X-rays or scans) is rarely required to diagnose bursitis.
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Further investigations are generally only indicated if an infection is suspected.
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X-rays and scans are most appropriately used after a serious injury.
