Olecranon bursitis (nonseptic) - Revision history

Burkholder17: /* Evaluation */

2022-06-30T14:59:11Z

Evaluation

← Older revision		Revision as of 14:59, 30 June 2022
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	**If no signs of infection:		**If no signs of infection:
	***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>
	***Some sources suggest aspiration for all cases

	==Management==		==Management==

ClaireLewis at 16:56, 18 October 2019

2019-10-18T16:56:55Z

← Older revision		Revision as of 16:56, 18 October 2019
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	==Clinical Features==		==Clinical Features==
	[[File:Bursitis Elbow WC.jpg\|thumb\|Olecranon bursitis, nonseptic]]		[[File:Bursitis Elbow WC.jpg\|thumb\|Olecranon bursitis, nonseptic]]
			*Bursal fluid on exam
			*Non-erythematous
			*FROM
			*Negative axial load

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	~~===Workup===~~
	*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)		*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)
	*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>. There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref>		*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>. There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref>
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	***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>
	***Some sources suggest aspiration for all cases		***Some sources suggest aspiration for all cases

	~~===Diagnosis===~~
	*Bursal fluid on exam
	*Non-erythematous
	*FROM
	*Negative axial load

	==Management==		==Management==
	*Acute		*Acute
	**Avoid trauma and excessive pressure		**Avoid trauma and excessive pressure
	**RICE & NSAIDs		**RICE & [[NSAIDs]]
	*Chronic = surgery		*Chronic = surgery

Rossdonaldson1: /* Clinical Features */

2019-05-10T03:41:17Z

Clinical Features

← Older revision		Revision as of 03:41, 10 May 2019
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	==Clinical Features==		==Clinical Features==
			[[File:Bursitis Elbow WC.jpg\|thumb\|Olecranon bursitis, nonseptic]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Management */

2019-05-10T03:39:43Z

Management

← Older revision		Revision as of 03:39, 10 May 2019
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	**RICE & NSAIDs		**RICE & NSAIDs
	*Chronic = surgery		*Chronic = surgery

			==Disposition==
			*Outpatient management

	==See Also==		==See Also==

Rossdonaldson1: /* =Diagnosis */

2019-05-10T01:44:13Z

=Diagnosis

← Older revision		Revision as of 01:44, 10 May 2019
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	***Some sources suggest aspiration for all cases		***Some sources suggest aspiration for all cases

	===Diagnosis==		===Diagnosis===
	*Bursal fluid on exam		*Bursal fluid on exam
	*Non-erythematous		*Non-erythematous

Rossdonaldson1 at 01:43, 10 May 2019

2019-05-10T01:43:58Z

← Older revision		Revision as of 01:43, 10 May 2019
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	*Often caused by repeated minor trauma from external pressure to elbow		*Often caused by repeated minor trauma from external pressure to elbow
	*There is controversy regarding initial diagnosis and treatment<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		*There is controversy regarding initial diagnosis and treatment<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>

			==Clinical Features==

			==Differential Diagnosis==
			{{Elbow DDX}}

	==Evaluation==		==Evaluation==
	*Bursal fluid on exam		===Workup===
	*Non-erythematous
	*FROM
	*Negative axial load

	==Workup==
	*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)		*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)
	*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>. There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref>		*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>. There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref>
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	***Some sources suggest aspiration for all cases		***Some sources suggest aspiration for all cases

	==~~Differential~~ Diagnosis==		===Diagnosis==
	~~{{Elbow DDX}}~~		*Bursal fluid on exam
			*Non-erythematous
			*FROM
			*Negative axial load

	==Management==		==Management==

Rossdonaldson1: /* References */

2019-05-10T01:43:01Z

References

← Older revision		Revision as of 01:43, 10 May 2019
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	[[Category:Orthopedics]]		[[Category:Orthopedics]]
			[[Category:Sports Medicine]]

Adamhaag: /* Workup */

2017-08-19T17:27:59Z

Workup

← Older revision		Revision as of 17:27, 19 August 2017
Line 14:		Line 14:
	==Workup==		==Workup==
	*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)		*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)
	*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>. There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref>
	**If any signs of infection, must aspirate to rule out [[septic bursitis]]		**If any signs of infection, must aspirate to rule out [[septic bursitis]]
	**If no signs of infection:		**If no signs of infection:

Rossdonaldson1: Text replacement - "r/o" to "rule out"

2016-07-31T01:02:03Z

Text replacement - "r/o" to "rule out"

← Older revision		Revision as of 01:02, 31 July 2016
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	==Workup==		==Workup==
	*Xrays if trauma, may consider for all to ~~r/o~~ bone spur as causative agent (although not emergent)		*Xrays if trauma, may consider for all to rule out bone spur as causative agent (although not emergent)
	*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		*Initial aspiration is controversial<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>
	**If any signs of infection, must aspirate to ~~r/o~~ [[septic bursitis]]		**If any signs of infection, must aspirate to rule out [[septic bursitis]]
	**If no signs of infection:		**If no signs of infection:
	***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		***May consider initial conservative (no aspiration) treatment for several days<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T16:36:13Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 16:36, 22 July 2016
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	*There is controversy regarding initial diagnosis and treatment<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>		*There is controversy regarding initial diagnosis and treatment<ref> Blackwell1 JR, et al. Olecranon bursitis: a systematic overview. Shoulder & Elbow; 2014, Vol. 6(3) 182–190. DOI: 10.1177/1758573214532787</ref>

	==~~Diagnosis~~==		==Evaluation==
	*Bursal fluid on exam		*Bursal fluid on exam
	*Non-erythematous		*Non-erythematous