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Orthopedics 2019 Mar 26:1-4. Epub 2019 Mar 26.

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

Am J Trop Med Hyg 2019 Mar;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 May 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

Case Rep Infect Dis 2018 4;2018:5353085. Epub 2018 Sep 4.

Assistant Professor, Wingate University School of Pharmacy, 805 6th Avenue West, Suite 200, Hendersonville, NC 28739, USA.

A livestock farmer with a history of arthropathy presented with unilateral olecranon bursal swelling and tenderness. Multiple wound and intraoperative cultures revealed growth of , a Gram-positive coccobacillus, with symptom resolution following appropriate antimicrobial therapy. To our knowledge, this is the first case report of olecranon bursitis caused by this organism. Read More

J Plast Surg Hand Surg 2018 Sep 4:1-5. Epub 2018 Sep 4.

a Centre of Plastic, Aesthetic, Hand and Reconstructive Surgery , University of Regensburg , Regensburg , Germany.

Wound healing problems following acute and chronic olecranon bursitis can result in problematic tissue defects around the elbow. These defects often require a regional flap or a free flap for durable tissue coverage. The aim of this study was to assess clinical outcome the lateral arm flap (LAF) used to cover tissue defects caused by chronic olecranon bursitis. Read More

J Clin Microbiol 2018 08 26;56(8). Epub 2018 Jul 26.

Division of Clinical Microbiology, Mayo Clinic, Rochester, Minnesota, USA

J Clin Microbiol 2018 08 26;56(8). Epub 2018 Jul 26.

Division of Clinical Microbiology, Mayo Clinic, Rochester, Minnesota, USA

Case Rep Orthop 2018 6;2018:9086201. Epub 2018 Jun 6.

Department of Family Medicine, University of Colorado School of Medicine, 3055 Roslyn Street, Denver, CO 80238, USA.

Bursitis is a relatively common occurrence that may be caused by traumatic, inflammatory, or infectious processes. Septic bursitis most commonly affects the olecranon and prepatellar bursae. accounts for 80% of all septic bursitis, and most cases affect men and are associated with preceding trauma. Read More

Cureus 2018 Mar 27;10(3):e2374. Epub 2018 Mar 27.

Department of Orthopaedics and Traumatology, Balikesir University, Faculty of Medicine, Balikesir, Turkey.

Objectives Bursitis of the olecranon and the patella are not rare disorders, and conservative management is successful in most cases. However, when patients do not respond to conservative treatment, open excisional surgery or, recently, endoscopic bursectomy, can be used. The aim of this study was to evaluate the results of open and endoscopic treatments of olecranon and prepatellar bursitis. Read More

Prim Care 2018 Jun;45(2):289-303

Rheumatology Fellowship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Uniformed Services University of the Health Sciences, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.

Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. Read More

Indian J Dermatol Venereol Leprol 2019 Mar-Apr;85(2):175-181

Department of Clinical Dermatology, San Gallicano Dermatological Institute, Via Elio Chianesi 53, 00144, Rome, Italy.

Background: The inflammatory involvement of the enthesis in the course of psoriasis is accompanied by structural abnormalities detectable by ultrasound. The most common of these abnormalities is the thickening of the tendon at the insertion site.

Aims: The aim of the present study was to compare the thickness of entheses of patients with psoriatic arthritis, only skin psoriasis, and healthy controls. Read More

BMJ Case Rep 2018 Feb 12;2018. Epub 2018 Feb 12.

Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.

This report describes a 63-year-old generally healthy male with septic olecranon bursitis caused by The patient sustained a small laceration after striking the posterior aspect of his left elbow on a metal railing when he was at a public swimming pool. We concluded that was not initially detected because cultures were only kept for 5 days. Consequently, initial antibiotic treatment failed. Read More

J Hand Surg Asian Pac Vol 2017 Dec;22(4):503-507

† Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Epidermal cyst is a dermal or subcutaneous epithelial cyst that contains keratin and is lined by true epidermis. Although extremely rare, it can cause pathology including nerve compression syndrome. We report a rare case of ulnar nerve compression in the elbow that was caused by olecranon bursitis and concomitant epidermal cyst in a 67-year-old man. Read More

Mycopathologia 2018 Apr 9;183(2):407-415. Epub 2017 Oct 9.

Unitat de Micologia, IISPV, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Reus, Spain.

Bursitis is a common medical condition that can occur either with or without infection. We present a case of fungal olecranon bursitis in an immunocompetent individual caused by the new species Knoxdaviesia dimorphospora. It is a dematiaceous filamentous fungus characterized by the production of two different conidia: hyaline and cylindrical, which rise up from phialidic conidiogenous cells located in the upper part of differentiated and unbranched conidiophores, and pale brown and ellipsoidal conidia produced by phialidic conidiogenous cells which are born directly on hyphae. Read More

Tech Hand Up Extrem Surg 2017 Dec;21(4):161-163

*MetroHealth Medical Center †Case Western Reserve University School of Medicine, Cleveland, OH.

Chronic posterior elbow soft tissue defects often require soft tissue reconstruction because of exposure of the underlying triceps tendon and proximal ulna. Current options for soft tissue coverage require sacrifice of a local muscle or microsurgery. The purpose of this study is to evaluate patient and surgical outcomes after reconstruction of small-sized to medium-sized (<50 cm) posterior elbow defects with bipedicle advancement flaps. Read More

Curr Sports Med Rep 2017 Sep/Oct;16(5):357-362

1Department of Orthopedic Surgery, University of Chicago, Chicago, IL; 2Department of Orthopedic Surgery, Peconic Bay Medical Center/Northwell Health.

Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article. Read More

Mil Med 2017 09;182(9):e1976-e1980

Shoulder Unit, Division of Orthopaedic Surgery, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel-Aviv, Israel 64239.

Introduction: Olecranon bursitis (OB) is a benign but disturbing condition that may adversely affect a military recruit's combat preparedness. This study was designed to assess incidence, risk factors, and associated medical burden of OB in the Israel Defense Forces.

Materials And Methods: This is a retrospective study drawing on medical records of all Israel Defense Forces soldiers diagnosed as having OB between 2005 and 2015. Read More

Respir Med Case Rep 2017 23;22:64-66. Epub 2017 Jun 23.

Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.

Non-small cell lung cancer adenocarcinoma in the past decade has targeted therapies as the cornerstone for therapy. In specific patients with epidermal growth factor receptor mutation have three different therapy approaches with the tyrosine kinase inhibitors: erlotinib, gefitinib and afatinib. Nowadays we can use tyrosine kinase inhibitors as second line treatment for squamous cell carcinoma. Read More

Mayo Clin Proc 2017 07 8;92(7):1061-1069. Epub 2017 Jun 8.

Service of Infectious Diseases, Medico-Economic Control, University of Geneva Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland; Infection Control Program, Medico-Economic Control, University of Geneva Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland; WHO Collaboration Center on Patient Safety, Geneva, Switzerland.

Objective: To assess the optimal surgical approach and costs for patients hospitalized with septic bursitis.

Patients And Methods: From May 1, 2011, through December 24, 2014, hospitalized patients with septic bursitis at University of Geneva Hospitals were randomized (1:1) to receive 1- vs 2-stage bursectomy. All the patients received postsurgical oral antibiotic drug therapy for 7 days. Read More

Infection 2017 Dec 29;45(6):781-786. Epub 2017 May 29.

Division of Rheumatology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Suite 4B, Boston, MA, 02215, USA.

Purpose: Limited data guide practice in evaluation and treatment of septic bursitis. We aimed to characterize clinical characteristics, microbiology, and outcomes of patients with septic bursitis stratified by bursal involvement, presence of trauma, and management type.

Methods: We conducted a retrospective cohort study of adult patients admitted to a single center from 1998 to 2015 with culture-proven olecranon and patellar septic bursitis. Read More

CEN Case Rep 2016 May 20;5(1):43-47. Epub 2015 Jul 20.

Department of Transplant and Endocrine Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan.

Familial Mediterranean Fever (FMF) is an auto-inflammatory disease characterized by periodic febrile episodes and sterile polyserositis and is extremely rare in Asian populations. Here, we report a case of FMF in a 61-year-old Japanese man who received a kidney transplant 31 years ago but had to re-start hemodialysis. Although kidney function had been stable since his initial transplant, serum creatinine levels had been increasing over the 2 years prior to his presentation at our hospital, and a periodic fever developed at the same time. Read More

Arch Orthop Trauma Surg 2017 Jun 26;137(6):823-827. Epub 2017 Apr 26.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Background: Traumatic lesions of the olecranon bursa (OB) and prepatellar bursa (PB) are injuries commonly seen in orthopaedic trauma units. These injuries are associated with a high rate of complications. At present, only little is known about the incidence, complication rate, and treatment approaches in patients with acute open bursae. Read More

Case Rep Infect Dis 2017 26;2017:9802532. Epub 2017 Feb 26.

Infectious Diseases Unit, Department of Medicine, College of Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

Brucellosis is still endemic in certain parts of the world including the Mediterranean, the Middle East, Latin America, and African regions. Osteoarticular manifestations are common presenting features. Brucellosis presenting as prepatellar bursitis has already been reported. Read More

Case Rep Med 2017 23;2017:3514796. Epub 2017 Feb 23.

Orthopedics and Traumatology Clinic, Ankara Numune Research and Training Hospital, Ankara, Turkey.

In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control. Read More

Am Fam Physician 2017 Feb;95(4):224-231

University of Colorado School of Medicine, Aurora, CO, USA.

Superficial bursitis most often occurs in the olecranon and prepatellar bursae. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Chronic microtrauma (e. Read More

Am J Trop Med Hyg 2017 02;96(2):261-262

Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.

Oper Orthop Traumatol 2017 Jun;29(3):253-265

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.

Objective: Complete olecranon bursectomy with debridement, protection of veins and nerves. Risk-adapted antibiotic therapy and early functional aftercare.

Indications: Acute, traumatic laceration of the bursa olecrani, chronic therapy-resistant bursitis olecrani. Read More

Injury 2017 Mar 9;48(3):724-730. Epub 2017 Jan 9.

Department of Pediatric Orthopedics and Traumatology Rizzoli Orthopedic Institute, Bologna, Italy. Electronic address:

Background: Nonunion is a rare but severe complication following forearm fracture in skeletally immature patients. The purpose of this study is to describe a case series of pediatric forearm nonunions treated at our Institute.

Materials And Method: We retrospectively reviewed medical charts and radiographs of healthy children affected by post-traumatic nonunion of the forearm, from April 1992 to July 2015. Read More

J Can Chiropr Assoc 2016 Dec;60(4):305-310

Canadian Memorial Chiropractic College.

Septic bursitis (SB) is an important differential diagnosis in athletes presenting with an acute subcutaneous swelling of the elbow or knee. Prompt recognition is essential to minimize recovery time and prevent the spread of infection. Due to the significant overlap in clinical features, it is often difficult to differentiate SB from non-septic bursitis (NSB) without bursal aspirate analysis. Read More

SICOT J 2016 29;2:41. Epub 2016 Nov 29.

Department of Orthopaedic Surgery, König-Ludwig-Haus, University of Würzburg, Brettreichstr. 11, 97074 Würzburg, Germany.

Introduction: Septic olecranon bursitis due to atypical mycobacteria is rare. An insidious beginning can delay diagnosis and treatment. Antibacterial therapy recommendations are not well-defined for bursitis caused by atypical mycobacteria. Read More

Int J Rheum Dis 2016 Oct 26;19(10):1035-1038. Epub 2016 Jul 26.

Rheumatology Division, Hospital Selayang, Batu Caves, Malaysia.

Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae with predominant involvement of skin and nerves. We present a 70-year-old man with leprosy whose initial presentation resembled rheumatologic disease, due to leprae reaction. He presented with an 8-week history of worsening neuropathic pain in the right forearm, associated with necrotic skin lesions on his fingers that had ulcerated. Read More

Case Rep Rheumatol 2016 9;2016:2019250. Epub 2016 Aug 9.

Division of Rheumatology, Department of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA.

Septic bursitis is usually caused by bacterial organisms. However, infectious bursitis caused by fungi is very rare. Herein, we present a 68-year-old woman with long-standing rheumatoid arthritis who developed pain, erythema, and swelling of the right olecranon bursa. Read More

Am Fam Physician 2016 Aug;94(3):243-4

Chiba University Hospital, Chiba, Japan.

J Hand Surg Asian Pac Vol 2016 06;21(2):167-72

1 Department of Orthopaedic Surgery, Upper Extremity and Microsurgery Center, Pohang Semyeong Christianity Hospital, Pohang, Korea.

Background: Open excision of the olecranon bursa has been performed traditionally. However, surgical complications such as wound healing problems and recurrence may occur after the surgery. The purpose of this study was to report on the clinical outcomes of endoscopic olecranon bursal resection performed in both septic and aseptic olecranon bursitis. Read More

J Pak Med Assoc 2016 06;66(6):768-70

Department of Rheumatology, Liaquat National Hospital and Medical College, Karachi, Pakistan.

Pegylated interferon remains the first line treatment for patients with hepatitis D virus and more than one year therapy may be necessary. Interferon a has the most extensive clinical application and is used for the treatment of chronic hepatitis B and D virus as well as HCV infections. The attachment of polyethylene glycol to interferon increases its half-life. Read More

Ann Rehabil Med 2016 Apr 25;40(2):310-7. Epub 2016 Apr 25.

Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.

Objective: To evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis.

Methods: Twenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid.

Results: Swelling and symptoms significantly decreased in 13 of the 24 patients without any complications. Read More

Anasthesiol Intensivmed Notfallmed Schmerzther 2016 Mar 29;51(3):168-74. Epub 2016 Mar 29.

Skin and soft tissue infections may progress rapidly and take a fatal ending unless not treated in time. A 44-year old male patient without any pre-existing conditions got hospitalized with a bursitis ofthe right olecranon and unspecific general symptoms. Within a short period of time he became critically ill due this seemingly harmless infection. Read More

Ther Adv Musculoskelet Dis 2016 Feb;8(1):28-30

Department of Family Medicine, University of North Carolina, 590 Manning Drive, Campus Box 7595, Chapel Hill, NC 27599-7595, USA.

IDCases 2015 13;2(2):59-62. Epub 2015 Apr 13.

Division of Infectious Diseases, University of Utah School of Medicine, 30 N 1900 E, Room 4B319, Salt Lake City, UT 84132, United States.

Introduction: Nontuberculous mycobacteria are an uncommon cause of septic olecranon bursitis, though cases have increasingly been described in both immunocompromised and immunocompetent hosts. Guidelines recommend a combination of surgical resection and antimicrobials for treatment. This case is the first reported case of nontuberculous mycobacterial olecranon bursitis that resolved without medical or surgical intervention. Read More

Transpl Infect Dis 2016 Apr 22;18(2):266-74. Epub 2016 Feb 22.

Department of Pathology, Hospital Pablo Tobón Uribe, Dinámica IPS, Medellín, Colombia.

Solid organ transplantation is an accepted therapy for end-stage diseases of the kidneys, liver, heart, and lungs. Unfortunately, transplantation is associated with infectious complications. Here, we present a case report of Prototheca wickerhamii olecranon bursitis and review all of the cases in solid organ transplant (SOT) recipients published in the literature to date. Read More

Curr Sports Med Rep 2016 Jan-Feb;15(1):33-7

1Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO; 2Clinical Research and Multidisciplinary Care, Sports Medicine Division, United States Olympic Committee, Colorado Springs, CO.

J Res Med Sci 2016 26;21:134. Epub 2016 Dec 26.

Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: This study aimed to compare the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination and ultrasound methods.

Materials And Methods: This study is a cross-sectional study which was conducted in Al-Zahra Hospital (Isfahan, Iran) during 2014-2015. In our study, ninety patients were selected based on the American College of Rheumatology 2010 criteria. Read More

J Shoulder Elbow Surg 2016 Jan 11;25(1):158-67. Epub 2015 Nov 11.

Elbow Shoulder Research Centre, Department of Orthopaedics and Sports Medicine, University of Kentucky, Lexington, KY, USA. Electronic address:

Background: Bursitis is a common medical condition, and of all the bursae in the body, the olecranon bursa is one of the most frequently affected. Bursitis at this location can be acute or chronic in timing and septic or aseptic. Distinguishing between septic and aseptic bursitis can be difficult, and the current literature is not clear on the optimum length or route of antibiotic treatment for septic cases. Read More

Clin Orthop Relat Res 2016 Mar 22;474(3):784-6. Epub 2015 Oct 22.

Department of Orthopaedics and Sports Medicine, University of Washington, 4245 Roosevelt Way NE, Box 354740, Seattle, WA, 98105, USA.

Clin Orthop Relat Res 2016 Mar 13;474(3):776-83. Epub 2015 Oct 13.

Department of Orthopaedic Surgery, Konkuk University School of Medicine, 120-1 Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 143-729, Korea.

Background: Olecranon bursitis might be a minor problem in the outpatient clinic but relatively be common to occur. However, there are few well-designed studies comparing approaches to treatment.

Questions/purposes: (1) Which treatment (compression bandaging with nonsteroidal antiinflammatory drugs [NSAIDs], aspiration, or aspiration with steroid injections) is associated with the highest likelihood of resolution of nonseptic olecranon bursitis? (2) Which treatment is associated with earliest resolution of symptoms? (3) What factors are associated with treatment failure by 4 weeks?

Methods: We enrolled 133 patients from two centers; after applying prespecified exclusions (septic bursitis or concomitant inflammatory arthritis, intraarticular elbow pathology, recent aspiration or steroid injection done elsewhere, and refusal to participate), 90 patients were randomly allocated to receive compression bandaging with NSAIDs (C), aspiration (A), or aspiration with steroid injection (AS) groups (30 patients in each). Read More

J Shoulder Elbow Surg 2015 Oct 2;24(10):e292-5. Epub 2015 Jul 2.

Perth Radiological Clinic, Subiaco, Perth, WA, Australia.

Background: The purpose of this study was to document the existence of transverse cords in olecranon bursae in patients undergoing excision of the bursa and to describe the unique clinical presentation of patients with these cords.

Methods: A retrospective study was performed on 24 patients who had surgery to excise an olecranon bursa between 2006 and 2011. The patient's history, preoperative radiographs, ultrasound images, intraoperative photographs, and findings on histologic analysis were reviewed in all cases. Read More