Olecranon Bursitis
Problem
- Fluid filled cyst about the elbow joint can cause pain and discomfort when knocked, often becomes inflamed and infected.
Cause
- Olecranon Bursa is a potential space that fills with fluid. This is usually caused by trauma, overuse or inflammatory conditions.
Diagnosis
- Clinical exam will show obvious swelling over the olecranon and ultrasound or MRI will confirm the cyst is full of fluid and not a solid lesion.
- Plain x-rays are taken to look for any underlying bone or joint problem.
Treatment
- Non operative measures such as antiflammatories, aspiration of cyst are sometimes successful.
- In recalcitrant cases surgical excision is required.
- Operation usually requires an overnight stay, general anaesthetic; excision of the bursa, sometimes excess skin needs to be removed.
- The patient is usually placed in a splint to restrict elbow motion for two to three weeks.
Potential Complications
- Infection, Haematoma, stiffness
- Can get recurrence of the bursa
- The biggest issue is with wound healing
Post-Operative Care
- Analgesia, Elevation,
- Back slab for two to three weeks until wound is well healed
