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Bicipito-radial Bursitis

History and Evolution

An inflammation of the bursa between biceps tendon and radius is a rare condition.
The pain is felt at the anterior aspect of the elbow, probably with some radiation down the front of the forearm.
Pain on rotation movements.

Clinical Examination

Passive flexion, extension and supination are full range and painless.
Passive pronation is painful, maybe slightly limited with a softer endfeel.
The resisted movements are painless and strong.

Treatment

One or two injections with 20 mg triamcinolone. The same technique is used as for the biceps tendinitis but the infiltration is done somewhat more proximally between the tendon and the bone of the radius.
There is no bony contact and almost no tissue resistance during the infiltration.

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