M71.021 Abscess of bursa, right elbow

Name of the Condition

• Abscess of bursa, right elbow

Summary

An abscess of the bursa, right elbow is a localized collection of pus within the bursa of the right elbow, a small fluid-filled sac that reduces friction between tissues. This condition typically causes pain, swelling, and warmth at the affected site. The right elbow-specific designation indicates the abscess is localized to the bursa in the right elbow region.

Causes

Abscesses of the right elbow bursa usually result from bacterial infection, often introduced through direct trauma, skin breakdown, or spread from adjacent tissues. Staphylococcus aureus is a common causative organism. Non-infectious causes, such as foreign body reaction or sterile inflammation, are less frequent.

Risk Factors

• Recent injury or surgery near the right elbow bursa
• Skin infections or open wounds in the elbow area
• Immunocompromised states (e.g., diabetes, HIV)
• Chronic inflammatory conditions (e.g., rheumatoid arthritis)
• Repetitive motion or pressure on the right elbow bursa

Symptoms

• Localized pain, tenderness, or throbbing in the right elbow
• Swelling, redness, or warmth over the bursa
• Limited range of motion in the elbow joint
• Possible fever or systemic signs if infection spreads
• Pus drainage if the abscess ruptures

Diagnosis

Diagnosis involves a physical examination to assess bursal swelling, warmth, and tenderness. Imaging (e.g., ultrasound) may confirm fluid collection. Aspiration of the bursa may be performed to identify the causative organism and guide treatment.

Treatment Options

Treatment typically includes antibiotic therapy to address the underlying infection. Surgical drainage may be necessary for larger or persistent abscesses. Rest, elevation, and pain management are also recommended to reduce symptoms and promote healing.

Prognosis and Follow-Up

With appropriate treatment, most cases resolve without long-term complications. Follow-up care may involve monitoring for recurrence or residual symptoms. Physical therapy may be recommended to restore function if mobility is significantly impaired.

Complications

Untreated abscesses can lead to the spread of infection, sepsis, or chronic bursitis. Rupture of the abscess may result in tissue damage or systemic infection. Scarring or persistent pain may occur in some cases.

Lifestyle & Prevention

Avoid repetitive or excessive pressure on the right elbow. Maintain good skin hygiene and promptly treat any cuts or infections in the area. Use protective gear during activities that risk elbow injury.

When to Seek Professional Help

Seek medical attention if symptoms worsen, fever develops, or pus drainage occurs. Prompt evaluation is necessary if pain is severe or mobility is significantly limited.

Tips for Medical Coders

Document the specific location (right elbow) and confirm the presence of an abscess. Ensure clinical notes support the diagnosis and any associated procedures, such as drainage or antibiotic therapy. Verify that the code aligns with the documented site and condition.