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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 Jan 30. 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

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

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 Dec 4;52(6):347-351. 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