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Elbow compression sleeve bursitis9/2/2023 ![]() ![]() ![]() The surgery is relatively quick (30-45 minutes), and is done as a day case. To excise an olecranon bursa we make a cut over the back of the elbow, directly over the bursa, excise the whole bursa, suture the skin and apply a pressure bandage. ( Read more about awake shoulder and elbow surgery here) This operation can be performed under general anaesthetic but we recommend that patients have this surgery done awake under regional anaesthetic. This is an operation to remove the bursa from the back of the elbow. In cases of chronically swollen bursas we often recommend an excision of olecranon bursa operation. It is important to excise all the bursa tissue to prevent complications, and for this reason we don’t tend to operate on acutely inflamed cases. In cases of chronic enlargement of the olecranon bursa surgery may be required to excise the bursa. In severe cases of infection patients may need admission for intravenous antibiotics and rarely surgery may be needed if the bursa ruptures or infection is uncontrolled. In cases of infected olecranon bursitis it is important to treat the inflammation but also to start antibiotics to control the infection. It is important to take sleeves off reguarly and they shouldn’t be worn while you sleep. You can purchase a compression sleeve here. In some cases a compression sleeve may be applied to help reduce swelling. The elbow joint gets stiff easily so it is important to keep the joint moving gently. Patients can use ice packs, non-steroidal anti-inflammatory drugs (NSAIDs), and avoidance of leaning on the tip of the elbow. In acute cases the focus is treating the inflammation. WHAT IS THE BEST OLECRANON BURSITIS TREATMENT? In some cases the bursa can become persistently swollen even after the inflammation settles. In some cases bursitis may be recurrent so that the patient experiences brief flares of inflammation from time to time. The size of the bursa may increase or decrease and once the acute episode is over the bursa usually shrinks back to its original size. ![]() In an acute bursitis the bursa becomes thickened, inflamed, and swollen and can be associated with pain. When olecranon bursitis occurs, the bursa lining becomes thickened and inflamed and the cells of the lining produce more fluid so the bursa swells. The olecranon bursa is a thin fluid filled sac that lies under the skin at the tip of the elbow and helps to reduce friction as the olecranon (tip of the elbow) and triceps tendon glide under the skin as the elbow straightens and bends. Olecranon bursitis is a condition caused by acute or chronic inflammation of the olecranon bursa. It is not uncommon for me to see patients who have been struggling to find the right olecranon bursitis treatment. ![]()
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