Secondary Septic Arthritis Due to Olecranon Bursitis -A Case Report-

doi:2003.6.2.167

Clin Shoulder Elb > Volume 6(2); 2003 > Article

Journal of the Korean Shoulder and Elbow Society 2003;6(2):167-172.
DOI: https://doi.org/10.5397/CiSE.2003.6.2.167 Published online December 30, 2003.

Secondary Septic Arthritis Due to Olecranon Bursitis -A Case Report-

Jong Hun Ji, M.D., Weon Yoo Kim, M.D., Jin Young Kim, M.D., Sang Ryoung Jung, M.D., Ji Chang Kim, M.D.*

Department of Orthopedic Surgery, Daejon St. Mary’s Hospital, Department of Radiology, Daejon St. Mary’s Hospital, The Catholic University of Korea, Daejon, Korea*

주두 점액낭염(olecranon bursitis)에서 발생한 2차적 화농성 관절염(septic arthritis) - 증례 보고 1례 -

지종훈, 김원유, 김진영, 정상룡, 김지창

가톨릭대학교 의과대학 대전성모병원 정형외과학교실, 방사선과학교실*

Abstract

Olecranon bursitis rarely progresses to septic arthritis. In our case, the 24 year old woman was visited due to progressing right elbow pain, despite antibiotic treatment of chronic olecranon bursitis caused by elbow laceration 2 months ago. Pus draining sinus, localized heating and swelling could be seen on physical examination. Septic arthritis and pathologic fracture was diagnosed under arthroscopic examination. Arthroscopic irrigation and synovectomy for elbow joint, olecranon bursectomy and curettage of olecranon bone was done. In the operation field, the elbow and draining sinus over olecranon was communicated each other on saline irrigation test. The patient was treated for 3 weeks with intravenous antibiotics. At postoperative 4 weeks, bone graft was done. The possibility of chronic osteomyelitis and septic arthritis must be considered in a patient with chronic olecranon bursitis.

Key Words: Olecranon bursitis, Septic arthritis, Elbow