Also known as student’s elbow, olecranon
bursitis is common among people who rest their elbows on
desks for extended periods of time.
Some people show obvious and embarrassing
signs of olecranon bursitis and cannot wear long-sleeved
sweatshirts because of the size of their swollen elbow.
Olecranon bursitis patients can suffer with swelling as
large as six centimeters over the bony part of the
elbow. Later, these olecranon bursitis patients are left
with lumps, nodules or scar tissue.
Elbow bursitis or olecranon bursitis is
an inflammation of a bursa, the lubricating fluid that
permits smooth gliding action between bones, tendons or
muscles. People with olecranon bursitis experience pain
and swelling behind the elbow when a bursa becomes
inflamed. The sac becomes filled with inflammatory
fluid.
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The term olecranon bursitis is a
combination of the word olecranon, which is the bony
prominence of the elbow, and bursitis, the inflammation
of a bursa. The bursa in the elbow is located between
the skin and the tip of the ulna, the long bone in the
lower arm that meets the olecranon.
The injuries associated with olecranon
bursitis can often happen over time. If your doctor
diagnosed you with olecranon bursitis, you may be
wondering how you got it. Some people get olecranon
bursitis by resting their elbows on hard surfaces while
others develop olecranon bursitis after a traumatic
accident.
Anyone can get olecranon bursitis. The
onset of olecranon bursitis may also be the result of
injury to the elbow through exercise. Also, olecranon
bursitis may be due to day-to-day chores such as lifting
a heavy piece of furniture or shoveling snow. Olecranon
bursitis is linked to people who play baseball, tennis,
racquetball, run or work in an office.
Olecranon bursitis is typically the
result of joints being torn by excessive force. Bursitis
can also be caused by the inflammation of crystal
deposits in the synovial fluid as well as rheumatoid
arthritis. People with olecranon bursitis should be
careful not to irritate, bump or apply pressure on a
bursa or they may experience swelling and pain.
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A chronic condition for many people,
olecranon bursitis can be especially painful when it
occurs through injury or gets infected. Most people with
olecranon bursitis have a history of other elbow
injuries and suffer with such conditions as tendonitis,
other types of bursitis and arthritis.
Acute olecranon bursitis that is the
result of injury or infection will be extremely tender
to the touch. Signs of infection include redness around
the bursa, fevers, chills and unusual fluid within the
bursa. Treatment of infected bursitis requires repeated
drainage of the fluid, antibiotic treatment and a
surgical procedure to remove the infected bursa.
Look for heat at the injured site and
redness as a possible indication of an infection.
Chronic, recurrent bursitis swells but is less painful.
If you are wondering whether your
olecranon bursitis can be permanently cured, the answer
is yes, most of the time. Although it’s possible for
olecranon bursitis to return, the inflammation usually
subsides after a physician has drained the fluid from
the sac. After you have given yourself adequate rest for
your elbow, the problem is often resolved.
Treatment for olecranon bursitis begins
with rest, ice, compression and elevation followed by
physical therapy. Also, a doctor may remove a bursa
surgically, but that is not always required. In most
cases, your doctor will aspirate the swollen cyst and
apply a compression bandage.
If it is necessary, your doctor will
first remove any tissue that has degenerated or does not
appear healthy. Many times the doctor will inject
cortisone into the sac after draining the fluid to
suppress the inflammatory response. Your doctor may
prescribe an anti-inflammatory drug or recommend
over-the-counter medication as well as antibiotics.
If you do have surgery, your doctor will
give you a splint to temporarily immobilize the elbow.
Physical therapy will usually begin after the first
week, starting with passive exercises then moving into
more active range of motion exercises for the elbow and
forearm. Plan on follow-up visits with your doctor if
you have been treated for olecranon bursitis.
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