Olecranon Bursitis ================== - Idiopathic, post-traumatic: Fluid is pink or bloody, and if spun, supernatant is xanthochromic. WBC averages 878/mm^3; mostly monos. Glucose and protein are about 60-80% of serum values. Mucin clot was fair or poor. [Canoso JJ. Idiopathic or traumatic olecranon bursitis: clinical features and bursal fluid analysis. Arthr Rheum 1977; 20(6):1213.] - Septic: 72% of septic bursitis occurs in the olecranon bursa. 70% is staph. 80% of gram stains were negative. Mean WBC was only 6110/mm^3 after antibiotic therapy. [Pien et al. Orthopedics 1991; 14:981. A review of 47 cases.] - Differential elbow temperature the key to distinguishing septic bursitis [Smith DL et al. Arch Intern Med 1989; 149(7):1581.] - Treatment of nonseptic bursitis: NSAIDs only slightly helpful at all; injection with steroid (20 mg Depo-Medrol) decreased recurrence rate markedly. [Smith DL et al. Treatment on nonseptic olecranon bursitis: A controlled blind and prospective trial. Arch Intern Med 1989; 149:2527.]