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Acad Emerg Med 2022 May 22;29(5):665-667. Epub 2022 Mar 22.

University of Western Ontario, Goderich, Ontario, Canada.

Prim Care 2022 Mar 5;49(1):119-130. Epub 2022 Jan 5.

Department of Family and Community Medicine, University of Kentucky, 2195 Harrodsburg Road, Suite 125, Lexington, KY 40504, USA.

Olecranon bursitis, greater trochanteric bursitis, medial epicondylosis, and lateral epicondylosis are common diagnoses encountered in primary care and sports medicine clinics. This section explores the anatomy, clinical presentation, evaluation, procedural techniques, and management to effectively treat these common conditions. Read More

Acad Emerg Med 2022 01 9;29(1):6-14. Epub 2021 Nov 9.

Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Objectives: Many guidelines for septic olecranon bursitis recommend aspiration of the bursa prior to initiation of antimicrobial therapy despite the absence of robust clinical data to support this practice and known risk of aspiration complications. Our objective was to describe outcomes associated with empiric antibiotic therapy without bursal aspiration among emergency department (ED) patients with suspected septic olecranon bursitis.

Methods: We conducted a retrospective observational cohort study of patients presenting to an academic ED from January 1, 2011, to December 31, 2018, with olecranon bursitis. Read More

J Antimicrob Chemother 2021 10;76(11):3029-3032

Rheumatology Department, CHU Nantes, Nantes, France.

Background: No current guidelines are available for managing septic bursitis (SB).

Objectives: To describe the clinical characteristics and management of olecranon and prepatellar SB in five French tertiary care centres.

Methods: This is a retrospective observational multicentre study. Read More

J Ultrason 2021 Jun 18;21(85):e169-e176. Epub 2021 Jun 18.

Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Italy.

Ultrasound is a fast, reliable and radiation-free method for the assessment of a wide range of pathological conditions, as well as for the guidance of percutaneous interventional procedures around the elbow, hand and wrist. Intraarticular and periarticular interventional procedures can be easily performed under continuous ultrasound monitoring to ensure correct needle positioning and medication delivery to a specific target. The most common ultrasound-guided procedures performed around the elbow, wrist, and hand are described in this review, excluding carpal tunnel procedures. Read More

IDCases 2021 12;24:e01121. Epub 2021 Apr 12.

Mycology Section, Bacteriology Unit, Infectious Disease Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia.

Prototheca species have been reported to cause infections in human. Typically, clinical symptoms of protothecosis include cutaneous infection, olecranon bursitis, tenosynovitis and disseminated systemic disease. We report a case of septic arthritis in which was isolated from blood. Read More

J Hand Surg Am 2021 06 9;46(6):501-506. Epub 2021 Apr 9.

Department of Orthopaedic Surgery, University of Chicago, Chicago, IL. Electronic address:

Olecranon bursitis is a disease characterized by inflammation of the olecranon bursa, most often due to microtrauma. Although it is a common condition, there is a lack of evidence-based recommendations for the management of nonseptic olecranon bursitis. The condition is often self-limited and resolves with conservative methods such as rest, ice, compression, orthosis wear, and nonsteroidal anti-inflammatory medications. Read More

Arch Orthop Trauma Surg 2021 Mar 15. Epub 2021 Mar 15.

St George's University Hospitals NHS Foundation Trust, London, UK.

Background: Despite contributing to significant morbidity in working-age adults, there is no consensus on the optimal treatment for prepatellar bursitis. Much of the existing literature combines prepatellar and olecranon bursitis. This systematic review aims to determine the optimal management of prepatellar bursitis. Read More

J Occup Health 2021 Jan;63(1):e12186

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.

Objectives: To evaluate the evidence of an association between occupational and non-occupational exposure to biomechanical risk factors and lateral elbow tendinopathy, medial elbow tendinopathy, and olecranon bursitis.

Methods: We carried out a systematic review of the literature. We searched MEDLINE (up to November 2019) and checked the reference lists of relevant articles/reviews. Read More

J Shoulder Elbow Surg 2021 May 1;30(5):1135-1141. Epub 2020 Nov 1.

Hand Surgery Service, Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:

Background: The primary aim of our study was to identify the factors associated with revision surgery after bursal excision in patients with olecranon bursitis. The secondary aims were to describe the revision rate after bursectomy and to assess which factors are associated with flap surgery after bursectomy and describe the most common complications after bursectomy of the olecranon bursa.

Methods: We included 191 adult patients with olecranon bursitis who underwent olecranon bursa excision between January 2002 and October 2018. Read More

J Equine Vet Sci 2020 10 5;93:103207. Epub 2020 Aug 5.

Oakhill Veterinary Centre, Langley Lane, Preston, Lancashire, United Kingdom.

This study aimed to determine whether a true synovial structure exists over the olecranon tuberosity, which could be attributed to a noninflamed olecranon bursa. Contrast radiography, gross anatomical dissection, and histopathology were used to evaluate the olecranon bursa in horses with no previous elbow pathology. The radiographic study revealed that the contrast was positioned subcutaneously, superficial to the long head of the triceps and its insertion on the olecranon tuberosity and did not extend cranial to the triceps tendon. Read More

J Hand Microsurg 2020 Aug 7;12(2):128-129. Epub 2020 Apr 7.

Department of Orthopedic Surgery, New York University School of Medicine, New York, New York, United States.

Epidermoid cysts are common, benign cysts that form due to follicular epithelium implanting into the dermis. Although these cysts are often painless, they can incite an inflammatory process as well as abscess formation, especially if ruptured. Our case involves a 59-year-old woman with a history of remote elbow trauma diagnosed with septic olecranon bursitis with concomitant epidermoid cyst found on histology following incision and drainage (I&D). Read More

Cureus 2020 Apr 21;12(4):e7770. Epub 2020 Apr 21.

Neurology, University of Illinois College of Medicine, Peoria, USA.

An 84-year-old male, with a large gouty tophus over the left elbow for 20 years, developed a new left elbow area mass about three months ago and presented to the emergency department (ED) with complaints of bleeding from that left elbow area mass after a small blunt injury. Initially diagnosed as olecranon bursitis, it had the worsening size and atypical growth associated with persistent leukocytosis. After being evaluated by multiple specialties, including infectious diseases, orthopedic surgery, and rheumatology, it was decided to do a biopsy, which resulted in the diagnosis of histiocytic sarcoma. Read More

Clin Sports Med 2020 Jul;39(3):673-685

UCHealth Steadman Hawkins Clinic - Denver, 175 Inverness Drive West Suite 200, Englewood, CO 80112, USA; Department of Orthopedic Surgery, University of Colorado, Aurora, CO, USA. Electronic address:

Distal triceps ruptures are uncommon, usually caused by a fall on an outstretched hand or a direct blow. Factors linked to injury include eccentric loading of a contracting triceps, anabolic steroid use, weightlifting, and traumatic laceration. Risk factors include local steroid injection, hyperparathyroidism, and olecranon bursitis. Read More

Open Access J Sports Med 2020 28;11:93-103. Epub 2020 Apr 28.

Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY, USA.

Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any other sport. Read More

Joint Bone Spine 2020 Oct 30;87(5):481-482. Epub 2020 Jan 30.

Department of Rheumatology, CHU Clermont ferrand, 58 rue Montalembert, 63003 Clermont Ferrand Cedex 1, France.

Joint complaints, most commonly intermittent arthritis, are the initial manifestation in about three-fourths of Whipple's disease cases. We herein report on two cases wherein Whipple's disease manifested itself as chronic bursitis and tenosynovitis at several sites. A 42 year-old man had bilateral olecranon bursitis, a right patellar bursitis and an extensor tenosynovitis on the left wrist and a 54 year-old man had extensor tenosynovitis at both wrists and a bilateral tenosynovitis of the extensors at both ankle. Read More

Joint Bone Spine 2019 Oct 26;86(5):583-588. Epub 2018 Oct 26.

Inserm, UMR 1125, 1, rue de Chablis, 93017 Bobigny, France; Sorbonne Paris Cité, université Paris 13, 1, rue de Chablis, 93017 Bobigny, France; Service de rhumatologie, groupe hospitalier Avicenne-Jean-Verdier-René-Muret, Assistance publique-Hôpitaux de Paris (AP-HP), 125, rue de Stalingrad, 93017 Bobigny, France.

Superficial septic bursitis is common, although accurate incidence data are lacking. The olecranon and prepatellar bursae are the sites most often affected. Whereas the clinical diagnosis of superficial bursitis is readily made, differentiating aseptic from septic bursitis usually requires examination of aspirated bursal fluid. Read More

J Xray Sci Technol 2019 ;27(6):1145-1153

Ultrasonic Department, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Background: Recent studies have shown that ultrasound-guided injection of glucocorticoids is superior to blind puncture methods.

Objective: To evaluate clinical efficacy of ultrasound-guided drug injection in the treatment of olecranon subcutaneous bursitis.

Methods: From June 2016 to September 2018, 45 patients diagnosed with obvious synovial effusion and treated with ultrasound-guided injection therapy for olecranon bursitis were included in this study. Read More

BMJ Case Rep 2019 Sep 6;12(9). Epub 2019 Sep 6.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.

A 55-year-old man with a history of haemophilia A and bilateral haemophilic arthropathy of the elbows presented with an enlarging left elbow mass and worsening paresthesias in the ulnar distribution of the left hand. The mass, originally thought to be olecranon bursitis and treated as such, was found to be due to a haemophilic pseudotumour. The patient underwent successful excision of the haemophilic pseudotumour with concomitant ulnar nerve decompression and had sustained resolution of the pseudotumour and symptoms at 10 years of follow-up. Read More

J Hand Surg Am 2020 Jan 14;45(1):20-25. Epub 2019 Aug 14.

Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, HI.

Purpose: Although aspiration of septic olecranon bursitis is recommended in the literature, no high-level evidence exists to support this practice. The purpose of this study was to retrospectively compare the results of traditional bursal aspiration (TBA) with empirical management without aspiration (EM). We hypothesized that EM of uncomplicated septic olecranon bursitis results in resolution, with fewer chronic draining sinuses and less progression to bursectomy. Read More

Rheumatol Int 2019 Dec 6;39(12):2185-2187. Epub 2019 Aug 6.

Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.

A 51-year-old man shepherd presented with mild pain and swelling of the right posterior aspect of his right elbow. In ultrasonography, the affected bursal space had swelling and effusion. Moreover, the aspiration of the affected bursa revealed an inflammatory profile. Read More

Med Mal Infect 2019 Aug 14;49(5):358-359. Epub 2019 May 14.

Department of infectious and tropical diseases, Toulouse University Hospital, place du Docteur-Baylac TSA 40031, 31059 Toulouse cedex 9, France; Paul Sabatier Toulouse III University, 31330 Toulouse, France; Inserm U1043 - CNRS UMR 5282, Toulouse-Purpan pathophysiology center, 31173 Toulouse cedex, France. Electronic address:

Orthopedics 2019 Jul 27;42(4):e381-e384. Epub 2019 Mar 27.

In this study, the authors investigated the viability of endoscopic bursectomy as a treatment for septic prepatellar and olecranon bursitis. Conventional treatment of septic bursitis consists of aspiration, antibiotics, and rest. When conservative treatment fails, however, surgical intervention is sometimes required to resolve the infection. Read More

Clin Shoulder Elb 2019 Mar 1;22(1):46-49. Epub 2019 Mar 1.

Department of Orthopaedic Surgery, Kyungpook National University School of Medicine, Daegu, Korea.

A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. Read More

Am J Trop Med Hyg 2019 03;100(3):703-705

Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, Gainesville, Florida.

Human protothecosis is a rare algal infection caused by ; it is a ubiquitous achlorophyllic alga, which rarely causes human disease. Currently, the pathogenesis remains unclear and no treatment options have been elucidated. We present a case of olecranon bursitis caused by in an immunocompromised patient. Read More

Saudi J Kidney Dis Transpl 2018 Nov-Dec;29(6):1506-1510

Department of Rheumatology, School of Clinical Medicine, University of KwaZulu-Natal and Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Periarticular calcification is a frequent radiographic manifestation in chronic kidney disease (CKD). However, clinical presentation as inflammatory periarthritis, tenosynovitis, and bursitis is unusual. A 34-year-old man with CKD on dialysis for three years presented with painful swollen joints. Read More

CEN Case Rep 2019 05 12;8(2):144-145. Epub 2018 Nov 12.

Division of Nephrology, Hypertension and Renal Transplantation, Department of Medicine, University of Florida, P.O. Box 100224, Gainesville, FL, 32610, USA.

Arthrosc Tech 2018 Sep 6;7(9):e893-e898. Epub 2018 Aug 6.

Department of Upper Limb Surgery and Trauma, Flinders Medical Centre, Flinders University, Bedford Park, Adelaide, Australia.

Olecranon spur is a common underlying clinical problem in patients with inflammatory conditions such as triceps tendonitis, olecranon bursitis, and gout. It is often managed conservatively. Conventionally, symptomatic olecranon spurs that have failed conservative management are excised along with the overlying bursa using an open technique. Read More