Olecranon Bursitis

Olecranon bursitis stems from various factors, including repetitive pressure or trauma to the elbow, such as frequent leaning on hard surfaces, sporting activities, or occupational tasks. Additionally, conditions like infection, gout, rheumatoid arthritis, or prolonged friction may contribute to bursa inflammation.

Symptoms commonly include swelling, tenderness, and warmth at the back of the elbow. The affected area may exhibit redness and pain, particularly when pressure is applied or during movement. In cases of infection, systemic symptoms like fever and chills may also be present.

Diagnosis involves a comprehensive evaluation, including a physical examination to assess the appearance, tenderness, and range of motion of the affected elbow. Aspiration of fluid from the bursa may be performed for analysis, especially if infection is suspected. Imaging studies like X-rays or ultrasound may aid in ruling out other conditions.

Treatment aims to alleviate symptoms, reduce inflammation, and prevent complications. Conservative measures include rest, ice therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and compression. In cases of infection, antibiotic therapy may be warranted. Severe or refractory cases may necessitate fluid aspiration or corticosteroid injections. Surgical intervention, such as bursectomy, is reserved for rare instances.

Recovery duration varies based on the severity of the bursitis and the selected treatment approach. Mild cases may show improvement within weeks with conservative measures, while more severe or recurrent instances may necessitate several weeks of recovery post-aspiration or surgical intervention.

Complications may include chronic inflammation, persistent infection, or recurrence of bursitis. Without appropriate treatment, chronic bursitis may lead to bursa thickening and restricted elbow joint mobility.

Preventive measures include avoiding activities that exert pressure on the elbow, using protective padding during repetitive tasks, and maintaining proper ergonomics to reduce friction and trauma. Additionally, promptly addressing any underlying conditions, such as gout or arthritis, may help prevent recurrence.

While timely intervention usually leads to resolution without long-term consequences, chronic or recurrent bursitis may result in persistent discomfort and limited elbow mobility. Adherence to treatment recommendations and regular follow-up can mitigate the risk of long-term disability and optimize recovery outcomes.