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Chronic Olecranon Bursitis

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1. Aspiration for the Treatment of Pre-patellar and Olecranon Bursitis: Clinical Evidence and Safety

. Olecranon and prepatellar bursitis: treating acute, chronic, and inflamed. Phys Sportsmed. 2000 Mar;28(3):40-52. PubMed: PM20086627 8. Stell IM. Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management. J Accid Emerg Med [Internet]. 1996 Sep [cited 2012 Oct 5];13(5):351-3. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1342774 PubMed: PM8894865 (...) Aspiration for the Treatment of Pre-patellar and Olecranon Bursitis: Clinical Evidence and Safety Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

2. Chronic Olecranon Bursitis

Chronic Olecranon Bursitis Chronic Olecranon Bursitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Olecranon Bursitis (...) Chronic Olecranon Bursitis Aka: Chronic Olecranon Bursitis From Related Chapters II. Mechanism Olecranon bursa overlies olecranon process Chronic results in inflammatory reaction III. Symptoms and Signs Thickened and y bursa Non-painful Multiple small, hard s on palpation Villous thickenings of bursa IV. Management Aspiration usually not helpful Incision contraindicated (risk of infection) Surgery to excise bursa Indicated for chronic bursa pain V. Prognosis Bursa usually dries up spontaneously VI

2018 FP Notebook

3. Bursitis

) or superficial (e.g., the olecranon bursa). In bursitis there is thickening and proliferation of the synovial lining, bursal adhesions, villus formation, tags, and deposition of chalky deposits. This may result from repetitive stress, infection, autoimmune disease, or trauma. Key diagnostic findings are localised pain and tenderness over a bursa and swelling if superficially sited. Treatment for non-septic bursitis involves modified physical activity, rest, and analgesia. Corticosteroid injections (...) Bursitis Bursitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Bursitis Last reviewed: February 2019 Last updated: March 2018 Summary The acute or chronic inflammation of a bursa. A bursa is a sac containing a small amount of synovial fluid that lies between a tendon and either skin or bone to act as a friction buffer. There are >150 bursae in the body and these can be deep (e.g., the subacromial bursa

2018 BMJ Best Practice

4. Olecranon bursitis

which involve repetitive overhead throwing or elbow flexion and extension, or direct impact onto the elbow (such gymnastics, weightlifting, rugby, football, or hockey) [ ]. Olecranon bursitis may occur more rarely in: People with chronic lung problems (who often rest their elbows against a hard surface at the level of the lower rib cage to increase inspiratory effort) [ ]. People on haemodialysis as the arm position during dialysis may put prolonged pressure on the elbow [ ]. Prognosis What (...) is the prognosis? Most cases of olecranon bursitis resolve without complications. However, recurrent episodes may occur after septic or non-septic bursitis, and this is particularly likely after recurrent minor trauma [ ; ]. Non-infective cases may be more likely to recur or become chronic. People who have an occupation requiring repetitive activity that is likely to precipitate the bursitis, will benefit from advice on modifying their activity and using protection to prevent recurrence [ ; ]. Non-septic

2016 NICE Clinical Knowledge Summaries

5. Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study Full Text available with Trip Pro

patients without any complications. Eleven patients had partial improvement in swelling and symptoms.Ultrasound-guided alcohol injection could be an alternative therapeutic option before surgery in patients with chronic intractable malleolar and olecranon synovial proliferative bursitis. (...) Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study To evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis.Twenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid.Swelling and symptoms significantly decreased in 13 of the 24

2016 Annals of rehabilitation medicine

6. Olecranon bursitis. (Abstract)

Olecranon bursitis. 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. The current literature was reviewed to clarify these points.The reported data (...) for olecranon bursitis were compiled from the current literature.The most common physical examination findings were tenderness (88% septic, 36% aseptic), erythema/cellulitis (83% septic, 27% aseptic), warmth (84% septic, 56% aseptic), report of trauma or evidence of a skin lesion (50% septic, 25% aseptic), and fever (38% septic, 0% aseptic). General laboratory data ranges were also summarized.Distinguishing between septic and aseptic olecranon bursitis can be difficult because the physical and laboratory

2015 Journal of Shoulder and Elbow Surgery

7. Chronic Olecranon Bursitis

Chronic Olecranon Bursitis Chronic Olecranon Bursitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Olecranon Bursitis (...) Chronic Olecranon Bursitis Aka: Chronic Olecranon Bursitis From Related Chapters II. Mechanism Olecranon bursa overlies olecranon process Chronic results in inflammatory reaction III. Symptoms and Signs Thickened and y bursa Non-painful Multiple small, hard s on palpation Villous thickenings of bursa IV. Management Aspiration usually not helpful Incision contraindicated (risk of infection) Surgery to excise bursa Indicated for chronic bursa pain V. Prognosis Bursa usually dries up spontaneously VI

2015 FP Notebook

8. Olecranon Bursitis (Diagnosis)

bursitis secondary to Mycobacterium kansasii infection in a patient receiving infliximab for Behcet's disease. J Med Microbiol . 2009 Mar. 58:371-3. . Senécal L, Leblanc M. Olecranon bursitis in chronic haemodialysis patients. Nephrol Dial Transplant . 2001 Sep. 16(9):1956-7. . . Gregory T, Mir O, Medioni J, Augereau B, Oudard S. Olecranon bursitis in patients treated with sunitinib for renal cell carcinoma. Med Oncol . 2010 Jun. 27(2):446-8. . Larsen BT, Smith ML, Grys TE, Vikram HR, Colby TV (...) Olecranon Bursitis (Diagnosis) Olecranon Bursitis: Practice Essentials, Etiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzI3OTUxLW92ZXJ2aWV3 processing > Olecranon Bursitis Updated: Oct 04, 2018

2014 eMedicine.com

9. Olecranon Bursitis (Diagnosis)

bursitis secondary to Mycobacterium kansasii infection in a patient receiving infliximab for Behcet's disease. J Med Microbiol . 2009 Mar. 58:371-3. . Senécal L, Leblanc M. Olecranon bursitis in chronic haemodialysis patients. Nephrol Dial Transplant . 2001 Sep. 16(9):1956-7. . . Gregory T, Mir O, Medioni J, Augereau B, Oudard S. Olecranon bursitis in patients treated with sunitinib for renal cell carcinoma. Med Oncol . 2010 Jun. 27(2):446-8. . Larsen BT, Smith ML, Grys TE, Vikram HR, Colby TV (...) Olecranon Bursitis (Diagnosis) Olecranon Bursitis: Practice Essentials, Etiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzI3OTUxLW92ZXJ2aWV3 processing > Olecranon Bursitis Updated: Oct 04, 2018

2014 eMedicine.com

10. Olecranon Bursitis (Treatment)

the initial use of conservative treatment rather than immediate bursectomy. They state that only patients with severe, refractory, chronic/recurrent olecranon bursitis should be treated via incision, drainage, or bursectomy. (They came to the same conclusions for prepatellar bursitis as well.) [ ] If surgical intervention is required in olecranon bursitis, endoscopic olecranon bursal excision is an effective alternative to open incision in either aseptic or septic cases. Endoscopic outcomes are excellent (...) and can minimize wound-healing problems. [ ] A study by Ogilvie-Harris and Gilbart demonstrated that endoscopic bursal resection relieves pain symptoms and typically gives satisfactory results in patients with chronic olecranon bursitis. [ , ] A study by Meric et al also reported good results from endoscopic bursectomy, for either prepatellar or olecranon bursitis. The 49 patients in the study, including 30 with olecranon bursitis and 19 with prepatellar bursitis, were treated endoscopically (25

2014 eMedicine.com

11. Olecranon Bursitis (Treatment)

the initial use of conservative treatment rather than immediate bursectomy. They state that only patients with severe, refractory, chronic/recurrent olecranon bursitis should be treated via incision, drainage, or bursectomy. (They came to the same conclusions for prepatellar bursitis as well.) [ ] If surgical intervention is required in olecranon bursitis, endoscopic olecranon bursal excision is an effective alternative to open incision in either aseptic or septic cases. Endoscopic outcomes are excellent (...) and can minimize wound-healing problems. [ ] A study by Ogilvie-Harris and Gilbart demonstrated that endoscopic bursal resection relieves pain symptoms and typically gives satisfactory results in patients with chronic olecranon bursitis. [ , ] A study by Meric et al also reported good results from endoscopic bursectomy, for either prepatellar or olecranon bursitis. The 49 patients in the study, including 30 with olecranon bursitis and 19 with prepatellar bursitis, were treated endoscopically (25

2014 eMedicine.com

12. Olecranon Bursitis (Overview)

bursitis secondary to Mycobacterium kansasii infection in a patient receiving infliximab for Behcet's disease. J Med Microbiol . 2009 Mar. 58:371-3. . Senécal L, Leblanc M. Olecranon bursitis in chronic haemodialysis patients. Nephrol Dial Transplant . 2001 Sep. 16(9):1956-7. . . Gregory T, Mir O, Medioni J, Augereau B, Oudard S. Olecranon bursitis in patients treated with sunitinib for renal cell carcinoma. Med Oncol . 2010 Jun. 27(2):446-8. . Larsen BT, Smith ML, Grys TE, Vikram HR, Colby TV (...) Olecranon Bursitis (Overview) Olecranon Bursitis: Practice Essentials, Etiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzI3OTUxLW92ZXJ2aWV3 processing > Olecranon Bursitis Updated: Oct 04, 2018

2014 eMedicine.com

13. Olecranon Bursitis (Overview)

bursitis secondary to Mycobacterium kansasii infection in a patient receiving infliximab for Behcet's disease. J Med Microbiol . 2009 Mar. 58:371-3. . Senécal L, Leblanc M. Olecranon bursitis in chronic haemodialysis patients. Nephrol Dial Transplant . 2001 Sep. 16(9):1956-7. . . Gregory T, Mir O, Medioni J, Augereau B, Oudard S. Olecranon bursitis in patients treated with sunitinib for renal cell carcinoma. Med Oncol . 2010 Jun. 27(2):446-8. . Larsen BT, Smith ML, Grys TE, Vikram HR, Colby TV (...) Olecranon Bursitis (Overview) Olecranon Bursitis: Practice Essentials, Etiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzI3OTUxLW92ZXJ2aWV3 processing > Olecranon Bursitis Updated: Oct 04, 2018

2014 eMedicine.com

14. Olecranon Bursitis (Follow-up)

the initial use of conservative treatment rather than immediate bursectomy. They state that only patients with severe, refractory, chronic/recurrent olecranon bursitis should be treated via incision, drainage, or bursectomy. (They came to the same conclusions for prepatellar bursitis as well.) [ ] If surgical intervention is required in olecranon bursitis, endoscopic olecranon bursal excision is an effective alternative to open incision in either aseptic or septic cases. Endoscopic outcomes are excellent (...) and can minimize wound-healing problems. [ ] A study by Ogilvie-Harris and Gilbart demonstrated that endoscopic bursal resection relieves pain symptoms and typically gives satisfactory results in patients with chronic olecranon bursitis. [ , ] A study by Meric et al also reported good results from endoscopic bursectomy, for either prepatellar or olecranon bursitis. The 49 patients in the study, including 30 with olecranon bursitis and 19 with prepatellar bursitis, were treated endoscopically (25

2014 eMedicine.com

15. Olecranon Bursitis (Follow-up)

the initial use of conservative treatment rather than immediate bursectomy. They state that only patients with severe, refractory, chronic/recurrent olecranon bursitis should be treated via incision, drainage, or bursectomy. (They came to the same conclusions for prepatellar bursitis as well.) [ ] If surgical intervention is required in olecranon bursitis, endoscopic olecranon bursal excision is an effective alternative to open incision in either aseptic or septic cases. Endoscopic outcomes are excellent (...) and can minimize wound-healing problems. [ ] A study by Ogilvie-Harris and Gilbart demonstrated that endoscopic bursal resection relieves pain symptoms and typically gives satisfactory results in patients with chronic olecranon bursitis. [ , ] A study by Meric et al also reported good results from endoscopic bursectomy, for either prepatellar or olecranon bursitis. The 49 patients in the study, including 30 with olecranon bursitis and 19 with prepatellar bursitis, were treated endoscopically (25

2014 eMedicine.com

16. Hydrothermal Ablation in Recurrent and Chronic Symptomatic Bursitis

: From Baseline to week 6 ] Patient Reported Outcome (PRO) form assesses change from baseline on week 6. The PRO form will consist of the DASH (DASH: Disabilities of the Arm, Shoulder and Hand) for olecranon bursitis. Secondary Outcome Measures : Bursa volume as assessed with ultrasound examination [ Time Frame: From Baseline to Week 6 ] Ultrasound examination assesses response to treatment by measuring change of bursa volume at week 6 compared to baseline, resulting in either Complete Response (CR (...) administered (investigator) after treatment Bursitis related disability as assessed on Patient Reported Outcome (PRO) [ Time Frame: From Baseline to day 1 ] Patient Reported Outcome (PRO) form assesses change from baseline on day 1. The PRO form will consist of the DASH (DASH: Disabilities of the Arm, Shoulder and Hand) for olecranon bursitis. Bursitis related disability as assessed on Patient Reported Outcome (PRO) [ Time Frame: From Baseline to Week 2 ] Patient Reported Outcome (PRO) form assesses change

2016 Clinical Trials

17. Pre-patellar bursitis

, Environment and Health 18 ( 5 ), 310 - 316 . Le Manac'h AP, Ha C, Descatha A, Imbernon E, Roquelaure Y ( 2012 ) Prevalence of knee bursitis in the workforce. Occupational Medicine (London) 62 ( 8 ), 658 - 660 . McAfee,J.H. and Smith,D.L. ( 1988 ) Olecranon and prepatellar bursitis. Diagnosis and treatment. Western Journal of Medicine. 149 ( 5 ), 607 - 610 . McFarland,E.G., Mamanee,P., Queale,W.S. and Cosgarea,A.J. ( 2000 ) Olecranon and prepatellar bursitis: treating acute, chronic, and inflamed (...) be needed. Referral to orthopaedics (with urgency depending on clinical judgement) should be made if the person has: Recurrent septic bursitis. A chronically discharging sinus. Non-septic chronic bursitis, which is not responding to conservative measures, or, is associated with significant recurrent swelling and/or pain. Have I got the right topic? Have I got the right topic? From age 16 years onwards. This CKS topic covers the management of pre-patellar bursitis, also known as kneecap bursitis

2016 NICE Clinical Knowledge Summaries

18. Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

the ICD terminology. Thus, the authors of these guidelines independently performed a systematic search of MEDLINE, CINAHL, and the Cochrane Database of Systematic Reviews (1966 through September 2011) for any relevant articles related to classification, examination, and intervention for musculo - skeletal conditions related to classification, outcome measures, and intervention strategies for shoulder adhesive capsulitis and frozen shoulder. Additionally, when relevant articles were identified (...) of Orthopaedic & Sports Physical Therapy. CLASSIFICATION The terms adhesive capsulitis, frozen shoulder, and periar- thritis have been used for patients with shoulder pain and mobility deficits. Adhesive capsulitis will be used in these guidelines to describe both primary idiopathic adhesive cap- sulitis and secondary adhesive capsulitis related to systemic disease, such as diabetes mellitus and thyroid disorders, as well as extrinsic or intrinsic factors, including cerebral vas- cular accident, proximal

2013 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

19. Prepatellar Bursitis (Diagnosis)

with the joint space and contains a minimal amount of fluid; when it becomes inflamed, however, there is a marked increase of fluid within its space. It is clinically very important in prepatellar bursitis to differentiate between chronic nonseptic bursitis (NSB) and acute septic bursitis (SB). Prepatellar bursitis is historically called "housemaid's knee," although it is also known as "coal miner’s knee" [ ] and "carpet layer’s knee." [ ] In the literature, the earliest reference to the condition and its (...) intervention: Incision and drainage of the prepatellar bursa usually is performed when symptoms of acute SB have not improved significantly within 36-48 hours of antibiotic administration. Surgical removal of the bursa (ie, bursectomy) may be necessary for chronic or recurrent prepatellar bursitis. [ ] Arthroscopic or endoscopic excision of the bursa has been reported to have satisfactory results with less trauma than open excision. [ , ] Next: Pathophysiology The prepatellar bursa is a flat, round

2014 eMedicine.com

20. Prepatellar Bursitis (Treatment)

, bursectomy) may be necessary for chronic or recurrent prepatellar bursitis. [ ] Arthroscopic or endoscopic excision of the bursa has more recently been reported to have satisfactory results with less trauma than open excision. [ , ] Using a systematic literature review, Baumbach et al developed a treatment algorithm for olecranon and prepatellar bursitis in which they advised that septic forms of these conditions initially be treated conservatively. They recommended that incision, drainage, or bursectomy (...) be reserved for patients with severe, refractory, or chronic/recurrent disease. [ ] A study by von Dach et al suggested that even in cases of moderate to severe septic prepatellar or olecranon bursitis, it is safe to substitute a one-stage bursectomy with primary closure for a two-stage procedure. The study, which included 168 patients, also found that the median hospital stay was 2 days shorter with the one-stage approach than with the two-stage operation. [ ] A study by Uçkay et al concluded

2014 eMedicine.com

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