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Clinical History •

64 year old female presented to outside emergency room with new onset of painful swelling of the left elbow.

History of rheumatoid arthritis

Physical exam demonstrated soft tissue swelling at the level of the olecranon bursa

Aspiration of elbow in emergency room yielded scant bloody materialcultures negative for infection

Pain and swelling continued and patient presented to her rheumatologist for further evaluation

Ultrasound of the Month – Case 27

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Ultrasound of the Month – Case 27

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Ultrasound of the Month – Case 27

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Ultrasound of the Month – Case 27

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Diagnosis: Infected Olecranon Bursitis

Olecranon bursitis is an often painful inflammation of the olecranon bursa, an adventitial bursa at the posterior elbow

Bursitis is most common in inflammatory conditions such as rheumatoid arthritis and gout and may also be associated with trauma

Infection of the olecranon bursa is relatively rare but an increased risk is present in patients receiving medications resulting in immunosuppression

Ultrasound is important in identifying and targeting any fluid collections for aspiration to definitively rule out infection

Ultrasound of the Month – Case 27

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Hospital For Special Surgery: Ultrasound of the Month - Case 27