Treatment is not usually required for non-painful, small olecranon bursae.
If there is significant pain or swelling however, aspiration is often necessary and the fluid should be sent for gram stain, culture and crystal microscopy.
In case of non septic bursitis which can be identified clinically, the following conservative methods will be helpful:
In cases refractory to above conservative methods, consider aspiration of fluid and injecting corticosteroids in to the bursa (2).
In traumatic and inflammatory cases steroid injection may be helpful. In septic cases, adequate drainage should be acheived and appropriate antibiotics commenced (3)
If the cause is gout or rheumatoid arthritis treat the conditions accordingly (4).
Reference:
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