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    Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook119 pages1 hour

    Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Olecranon Bursitis (Elbow bursitis), Diagnosis and Treatment and Related Diseases

    I had a patient who had a protrusion of his left elbow which he mistook for bone and wanted me to do something about it.
    He was surprised when I told him that it was just a sac of fluid stuck below his elbow and all he needed was aspiration of the swollen sac of fluid under local anesthesia.
    He was more than happy for me to aspirate out the fluid and the compressed the affected part of the elbow with bandaging to prevent a recurrence of the swelling.

    Olecranon Bursitis is the inflammation or infection of the bursa at the olecranon which is part of the bones forming the elbow joint.
    The superficial site and limited blood flow make the bursa susceptible to direct trauma and infection.
    People in certain occupations are mostly susceptible, such as plumbers or heating and air conditioning technicians who have to crawl on their knees in tight spaces and lean on their elbows.
    Inflammation may also be because of a systematic inflammatory process, like rheumatoid arthritis, or a crystal deposition disease, like gout and pseudogout.
    This disorder may be a side-effect of sunitinib which is used to treat renal cell carcinoma.
    Whether it is injury or the introduction of an infectious germ, the inciting episode produces a reactive inflammation in the bursa.
    The inflammatory action causes the extra-vasation of protein and synovial type fluid into the bursa.
    The result is the obvious round swelling (bursitis) linked with this disorder
    The starting symptom of elbow bursitis is often swelling.
    There is a hard rubbery swelling at the olecranon
    If the disorder has been present for some time, small lumps may be palpated underneath the skin over the olecranon.
    Occasionally these lumps sense like something is floating around in the olecranon bursa, and they can be very tender.
    These lumps are normally the thickened folds of bursa tissue that have produced in reaction to chronic inflammation.
    The bursa sac may become swollen and fill with fluid at times.
    Over time the bursa can become very thick, almost like an elbow pad on the olecranon.
    Finally the olecranon bursa can also become infected.
    There may be a graze or wound on the skin over the bursal swelling, where the germs entered.
    Olecranon bursitis causes pain and swelling in the area at the tip of the elbow.
    The patient may develop a fever and feel chills.
    An abscess, or area of pus, may develop on the elbow.
    If the infection is not treated rapidly, the abscess may even start to drain, meaning the pus starts to seep out.
    Diagnosi:
    Bursal aspiration and analysis are regarded to be the gold standard in diagnosis.
    X-rays of the elbow together with ultrasound imaging helps to confirm bursitis and evidence of bone spurs.
    Treatment:
    Patients who have often olecranon bursitis are advised to use the RICE method of treatment.
    Rice represents Rest, Ice, Compression and Elevation.
    There are also other physical treatment methods that could be useful for reducing pain and inflammation e.g., phonophoresis, electrical stimulation.
    Most patients with olecranon bursitis do not necessary require those methods.
    The treatment for bursitis is dependent largely on whether it is infective or non-infective.
    Acute non-infective bursitis is self-limiting.
    It can be treated conservatively with rest, ice, and the usage of NSAIDs.
    Compression with elastic bandage has also been proven to help prevent swelling.
    Corticosteroid injection can cause an early decrease in symptoms of olecranon bursitis
    Persistently recurring bursitis without a spur evident may need surgical excision of the bursa.
    Infective bursitis needs treatment with antibiotics

    TABLE OF CONTENT
    Introduction
    Chapter 1 Olecranon Bursitis
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapte

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJul 22, 2019
    ISBN9780463373187
    Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Olecranon Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Olecranon Bursitis,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2019 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Olecranon Bursitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Olecranon Bursitis)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Olecranon Bursitis

      I had a patient who had a protrusion of his left elbow which he mistook for bone and wanted me to do something about it.

      He was surprised when I told him that it was just a sac of fluid stuck below his elbow and all he needed was aspiration of the swollen sac of fluid under local anesthesia.

      He was more than happy for me to aspirate out the fluid and the compressed the affected part of the elbow with bandaging to prevent a recurrence of the swelling.

      What is Olecranon Bursitis?

      Olecranon Bursitis is the inflammation or infection of the bursa at the olecranon which is part of the bones forming the elbow joint.

      The superficial site and limited blood flow make the bursa susceptible to trauma and infection.

      Incidence

      Olecranon bursitis is relatively frequent.

      There is no mortality linked with this disorder.

      Pain in the posterior elbow causes dysfunction, with a limitation of activities.

      It normally affects men between the ages of 30 and 60 years.

      ‘

      66% of cases are non-septic and happen when repeated trauma or sports injuries result in bleeding into the bursa or release of inflammatory mediators.

      There is no predominance to sex or race of the patient.

      Olecranon bursitis happens in both children and adults.

      Long-term hemodialysis treatment, uremia or a mechanical factor may be a cause of inflammation.

      People in certain occupations are mostly susceptible, such as plumbers or heating and air conditioning technicians who have to crawl on their knees in tight spaces and lean on their elbows.

      Inflammation may also be because of a systematic inflammatory process, like rheumatoid arthritis, or a crystal deposition disease, like gout and pseudogout.

      This disorder may be a side-effect of sunitinib which is used to treat renal cell carcinoma.

      What are the causes of Olecranon Bursitis?

      Causes:

      The Olecranon bursa spreads over the surface of the olecranon process and is very susceptible to:

      1. Trauma

      A hard blow to the tip of the elbow can induce the bursa to produce excess fluid and swell.

      One-off injury such as a blow to the back of the elbow may activate inflammation.

      Direct Injury or trauma to the bursa causes a painful swelling in the olecranon tip.

      The bursa sac is filled up with blood or clear fluid giving rise to swelling and pain.

      2. Infection

      If an injury at the tip of the elbow breaks the skin, such as an insect bite, scrape, or puncture wound, bacteria may enter inside

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