General practice & prim · UKMLA & AKT

Olecranon bursitis

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise olecranon bursitis — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Soft, fluctuant swelling directly over the posterior elbow
  • Elbow range of movement largely preserved - bursa lies outside the joint capsule
  • Pain only at full flexion (distended bursa compressed against olecranon)

Preserved elbow range of movement (except at full flexion) = bursal pathology. All movements painful and restricted = suspect septic arthritis of the elbow (orthopaedic emergency).

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