Olecranon Bursitis
Olecranon bursitis is a condition in which swelling develops at the tip of the elbow.
What is Olecranon Bursitis?
The olecranon bursa is a small fluid-filled sac that sits over the bony point of the elbow (the olecranon), providing cushioning between the skin and the bone. When this bursa becomes irritated or inflamed, it fills with fluid and produces a visible, rounded swelling at the elbow tip.
Olecranon bursitis can be:
• Non-infective (aseptic). Resulting from repeated pressure on the elbow, a single impact, or inflammation associated with conditions such as gout or rheumatoid arthritis
• Infective (septic). Caused by bacteria entering through a small break in the overlying skin. Septic bursitis requires prompt treatment
Diagnosis
Diagnosis is usually clinical. Ultrasound can help to confirm the diagnosis.
Symptoms
Visible, often fluctuant (fluid-filled) swelling at the tip of the elbow
Pain, particularly with direct pressure on the elbow
Redness and warmth of the overlying skin (particularly with infective bursitis)
Treatment Options
Non-Surgical Treatment: The vast majority of patients with olecranon bursitis respond well to non-surgical management. This includes:
Avoiding pressure on the elbow and protective padding
Anti-inflammatory medication
Antibiotics. Only indicated for septic bursitis, sometimes requiring hospital admission
Surgical Treatment: Bursectomy
For persistent or recurrent olecranon bursitis that is symptomatic and has not responded to non-surgical treatment, surgical removal of the bursa (bursectomy) is an option. The procedure is for carefully selected patients in whom other measures have been unsuccessful.
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Nuffield Health York Hospital
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Clifton Park Hospital (Ramsay) York
Bluebeck Drive, Shipton Road, York, YO30 5RA