Elbow Case Study 1: Olecranon BursitisAnatomy & Pathology
A Bursa is a small sac that contains fluid – fluid is similar to fluid in the oint – synovial fluid. There are several Bursae in the body – one just over the olecranon – bursa help make movements smooth between bones which stick out and the nearbyoverlying skin.The bursa is located quite superficially on the extensor side of the olecranonon – it iseasily irritated and inflamed. Bursitis may arise from trauma – from falls or direct blows. It ay also arise from prolonged irritation – and it may be assosciated wthsystemic inflammatory conditions such as Rhematoid Arthritis and gout. Furthermoreinfection ay develop in the bursa – this is known as septic bursitis. In bursitis – the bursa becomes inflamed – it swells and extra fluid is made.The location of the ulnar nerve is significant. It can become entrapped by spreadinginflammation around the olecranon.
: pain at olecranon and down posterior arm
: 6 weeks ago
: ask – has trauma been involved ?
: intermittent and increasing – nb most bursitis evidences no pain !
24 hour cycle
: contact – ask what is it like putting on a shirt – this will give you an ideaof the severity of the patients symptoms
Type of pain
: diffuse pain
Past Medical History/ General History
: none – but ask do they suffered from goutOr rheumatoid arthritis
Red Flags and general concerns
: the pain the patient experiences is unusual – hasthere been trauma is the wound going septic – is there nerve entrapment. Ask the