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Bursitis olecrani

Diagnostisches und therapeutisches Vorgehen

Olecranon bursitis

Diagnostic workup and treatment

Obere Extremität Aims and scope Submit manuscript

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Zusammenfassung

Die Bursitis olecrani ist ein häufiges Krankheitsbild, dennoch ist die Behandlung nicht trivial und wird in der Literatur uneinheitlich dargestellt. Die akute, traumatisch bedingte Bursitis olecrani beim jungen Patienten ist in der Regel harmlos und selbstlimitierend. Die eitrige Bursitis ist dagegen rezidivträchtig und komplikationsbehaftet. Die Unterscheidung zwischen der eitrigen und nicht-eitrigen Bursitis olecrani ist grundlegend für eine erfolgreiche Behandlung. Das Ziel der Arbeit ist es daher, die wesentlichen Differenzierungsmerkmale zwischen der eitrigen und der nicht-eitrigen Bursitis darzulegen und einen Therapiealgorithmus vorzustellen, der die gängigen Behandlungskonzepte der jeweiligen Formen beinhaltet.

Abstract

Olecranon bursitis is a common medical condition. However, treatment is sometimes challenging and the recommendations in the literature are heterogeneous. Acute, posttraumatic olecranon bursitis in the young adult is usually uncomplicated and self-limited. In contrast, the course of septic bursitis can be complicated. Differentiation between septic and aseptic types of olecranon bursitis is fundamental for successful treatment. Therefore, the aim of this review is to present the main characteristics of septic and aseptic olecranon bursitis and to propose a treatment algorithm, which contains the currently accepted treatment recommendations.

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Authors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Klinik für Unfallchirurgie und Orthopädie, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Deutschland

    Marc Schnetzke M.D., Stefan Studier-Fischer M.D., Paul-Alfred Grützner M.D. & Thorsten Guehring M.D.

  2. Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Universität Heidelberg, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, Deutschland

    Ulrich Kneser M.D.

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  1. Marc Schnetzke M.D.
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  2. Stefan Studier-Fischer M.D.
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Correspondence to Marc Schnetzke M.D. or Thorsten Guehring M.D..

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M. Schnetzke, S. Studier-Fischer, U. Kneser, P.-A. Grützner und T. Guehring geben an, dass kein Interessenkonflikt besteht.

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Schnetzke, M., Studier-Fischer, S., Kneser, U. et al. Bursitis olecrani. Obere Extremität 11, 88–95 (2016). https://doi.org/10.1007/s11678-016-0348-2

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  • DOI: https://doi.org/10.1007/s11678-016-0348-2

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