Treatment of nonseptic olecranon bursitis. A controlled, blinded prospective trial

David Smith, J. H. McAfee, L. M. Lucas, K. L. Kumar, D. M. Romney

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Abstract

We enrolled 42 patients with nonseptic olecranon bursitis in a double-blind prospective treatment trial to compare the efficacy of an intrabursal steroid preparation with that of an oral antiinflammatory agent. Patients were randomized into one of four treatment regimens: (1) methylprednisolone acetate (20 mg) intrabursal injection and oral naproxen (1 g/d for 10 days), (2) methylprednisolone acetate (20 mg) intrabursal injection and oral placebo for 10 days, (3) oral naproxen (1 g/d for 10 days), and (4) oral placebo for 10 days. The degree of swelling in millimeters was assessed at study introduction and at 1, 3, and 6 weeks. At 6 months, the number of patients requiring reaspiration for bursitis recurrence was tabulated. Data at 1 week indicated that patients treated with an intrabursal methylprednisolone acetate injection (20 mg) demonstrated the most rapid decrease in swelling. At 6 weeks, the methylprednisolone-treated groups demonstrated sustained improvement. At 6 months, the mean number of reaspirations per patient for reaccumulation of bursal fluid was higher in groups 3 (1.0 ± 1.2) and 4 (0.4 ± 0.7). An intrabursal methylprednisolone acetate 20-mg injection seems to be the most effective treatment regimen for nonseptic olecranon bursitis.

Original languageEnglish (US)
Pages (from-to)2527-2530
Number of pages4
JournalArchives of Internal Medicine
Volume149
Issue number11
Publication statusPublished - 1989

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ASJC Scopus subject areas

  • Internal Medicine

Cite this

Smith, D., McAfee, J. H., Lucas, L. M., Kumar, K. L., & Romney, D. M. (1989). Treatment of nonseptic olecranon bursitis. A controlled, blinded prospective trial. Archives of Internal Medicine, 149(11), 2527-2530.