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The elbow
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Swelling of the elbow if diffuse may be due to injury, inflammation or infection. A sudden symmetrical loss of range suggests an increase of fluid within the joint which may be synovial fluid (effusion), blood or pus. A localized soft-tissue lump on the point of the olecranon is likely to be an olecranon bursitis. A rubbery lump more distal may be due to gouty tophus or rheumatoid nodule.
Elbow disorders
Published in Maneesh Bhatia, Tim Jennings, An Orthopaedics Guide for Today's GP, 2017
Olecranon bursitis is quite common after recurrent irritation or repeated pressure resting on the elbow (student’s elbow). The lesions are soft and cystic and will transilluminate. Aspiration leads to clear, mildly viscous fluid but frequently, the collection reoccurs. Instillation of steroid has not been shown to make recurrence any less likely. They are tolerated well but may be a cosmetic concern if large. Redness and pain may reflect a secondary infection that requires active management with antibiotics, aspiration or surgical drainage. Other solid posterior elbow lesions such as gouty tophi or rheumatoid nodules may occasionally require surgical excision due to nuisance or cosmetic reasons. Optimisation of medical management may help control their development.
The Elbow
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
Pain may be felt diffusely on the medial side of the joint (ulnohumeral), the posterolateral side (radiohumeral) or acutely localized to one of the humeral epicondyles (‘tennis elbow’ on the lateral side and ‘golfer’s elbow’ on the medial side). Pain over the back of the elbow is often due to an olecranon bursitis.
Performance and return to sport after injury in professional mixed martial arts
Published in The Physician and Sportsmedicine, 2022
Matthew T Kingery, Shalen Kouk, Utkarsh Anil, Joseph McCafferty, Connor Lemos, Jonathan Gelber, Guillem Gonzalez-Lomas
Although MMA athletes are required to wear protective gear, including regulation gloves and mouth guards, the incidence of injuries in MMA is greater than other combat sports [3,4]. As suggested by the name of the sport, a variety of striking techniques are used during a fight. Prior studies have demonstrated that elbow and palm strikes delivered by professional fighters can frequently reach a peak force capable of resulting in skull bone fracture [5,6]. Unsurprisingly, the existing data for professional and amateur MMA suggest a weighted average injury rate as high as 246.2 injuries per 1,000 athletic encounters in male athletes and 101.9 injuries per 1,000 athletic encounters in female athletes [7]. Injuries are most commonly localized to the head, with the upper extremities, lower extremities, and torso following [8]. When stratified by diagnosis, injuries occurring at the highest rates are lacerations, abrasions, and contusions, followed by concussions and fractures [9]. One study investigating professional MMA bouts categorized 20% of injuries as orthopedic, with the most common being injury to the metacarpals due to a punch or strike [10]. Elbow lateral collateral ligament sprain, elbow subluxation, acromioclavicular separation, mid-foot sprain, traumatic olecranon bursitis, trapezius strain, and Achilles tendon contusion are also commonly reported [10].
First presentation of polyarticular gout secondary to platelet-rich plasma injection: a case report
Published in Scandinavian Journal of Rheumatology, 2023
Clinical examination revealed inflammatory arthritis affecting both hands, wrists, knees, ankles and the left first metatarsophalangeal joint. Left olecranon bursitis was noted. There was no evidence of tophi, and other systemic examinations were normal.