Olecranon Bursitis

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Patient presents with swelling and pain localised over the olecranon process
Side:

The patient is systemically well

Examination:
Swelling without any marked tenderness over affected elbow

Normal ROM in the joint

No evidence of overlying cellulitis

Reason for visit:
Olecranon bursitis

Management:
Advised the patient of the diagnosis and explained treatment options
1. Observe
2. NSAIDS
3. Needle aspiration

Patient elected for needle aspiration

Consented Verbally for the procedure

Area cleaned and performed under sterile conditions

Swelling localied and 1% Xylocaine infiltrated into the skin overlying the bursa

18g Sharp needle inserted into the bursa

Aspiration of about 20ml of clear fluid consistant with synovial fluid

wound dressed and patient advised to return if :

- swelling
- redness
- fevers
- Pain
- any concern the patient has

Simple analgesia advised to be used

Keywords:  Olecranon bursitis, +olecranonbursitis

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