QuestionSBA
QuestionChoice
A history of recent trauma with unusual limitation of both active and passive movements on examination is most likely due to a fracture of the olecranon process.
62312
e
Fracture of the olecranon process
QuestionChoice
Olecranon bursitis (student's elbow) is usually caused by constant friction and irritation of the elbow while repetitively leaning and working on the table for various reasons. In this clinical vignette, her occupation raises suspicion of this condition.
62308
a
Olecranon bursitis
QuestionChoice
In rheumatoid arthritis, the whole joint is inflamed instead of localised, fluctuant swelling. Characteristic rheumatic nodules, which are firm without fluctuation, can cause swelling over the olecranon region.
62309
b
Rheumatoid arthritis
QuestionChoice
Septic arthritis presents with fever, severe excruciating pain and swelling of the whole joint rather than the bursa. A painful and limited range of movements on examination characterises it.
62310
c
Septic arthritis
QuestionChoice
Lateral epicondylitis (tennis elbow) is due to micro-tearing of the fibres and resultant inflammation of the extensor tendons in the forearm. It can be differentiated from olecranon bursitis by the presence of tenderness to palpation over the origin of the extensor carpi radialis brevis tendon.
62311
d
Lateral epicondylitis
QuestionComment
sounds like a funny desk job to me
24319
User
subscriber
Nightshift Hematoma
QuestionComment
crawling for a promotion huh
25192
User
subscriber
canIhave12bottlesofbleachplease
Concept
Chapter
# Definition 

Olecranon bursitis is inflammation of the olecranon bursa. 

# Aetiology 

It will classically occur after repetitive damage, such as leaning on the elbow.

# Examination 

Examination reveals a swelling directly over the olecranon which is fluctuant with no signs of infection.

# Management 


Management is generally conservative with the use of ice, anti inflammatory medications and an elbow support. If this does not improve the condition and it is affecting the patients activities of daily living a steroid injection can be considered.
575
1996
Olecranon bursitis
Topic
60
General Practice
12523
A 43-year-old woman presents to the GP with painful swelling on her right elbow. Her past medical history includes psoriatic arthritis. She denies any trauma but mentions she is often crawling and leaning on her elbow while doing her desk job as a clerk. On examination, there is a fluctuant swelling the size of a golf ball, tenderness, and erythema over the posterior aspect of the elbow.

What is the most likely diagnosis?
a