Table 1.
Patient characteristics.
| Characteristic | Total ( ) |
| Age, median (IQR) | 62.0 (51.5–74.0) |
| Female sex – (%) | 29 (32 %) |
| Body mass index (BMI) (kg m-2), median (IQR) | 28.2 (23.7–32.8) |
| Manual occupation – (%) | 8 (9 %) |
| Abrasions or wounds on the affected elbow – (%) | 16 (18 %) |
| History of surgery on the affected elbow – (%) | 16 (18 %) |
| Fall on the affected arm/trauma to elbow – (%) | 36 (40 %) |
| Comorbidities – (%) | |
| Diabetes mellitus | 17 (19 %) |
| End-stage renal disease | 1 (1 %) |
| Autoimmune disease | 31 (34 %) |
| Rheumatoid arthritis | 20 (65 %) |
| Inflammatory bowel disease | 5 (17 %) |
| Other | 6 (19 %) |
| Hematologic malignancy | 3 (3 %) |
| Solid malignancy | 4 (4 %) |
| Smoking history, (%) | |
| Never smoker | 43 (47 %) |
| Current smoker | 18 (20 %) |
| Former smoker | 30 (33 %) |
| Pharmacologic immunosuppression, (%)* | 26 (29 %) |
| Prednisone | 18 (69 %) |
| 20 mg of prednisone equivalents for 2 weeks | 4 (22 %) |
| TNF- inhibitor | 5 (19 %) |
| Methotrexate | 5 (19 %) |
| Other | 14 (54 %) |
| Clinical presentation | |
| Duration of symptoms prior to presentation, median (IQR), | 13.0 (4.0–53.0) |
| Fever (temperature 38.3 °C) – (%) | 13 (14 %) |
| Local signs of inflammation at time of presentation – (%) | |
| Mild–moderate swelling, redness, and/or pain | 44 (48 %) |
| Moderate–severe swelling, redness, and/or pain | 29 (32 %) |
| Extensive peribursal cellulitis | 18 (20 %) |
| Presence of wound overlying the bursa – (%) | |
| No open wound | 31 (34 %) |
| Minor skin lacerations | 5 (6 %) |
| Small open wound | 23 (25 %) |
| Sinus tract/fistula | 32 (35 %) |
| Bursa imaging – (%) | 17 (19 %) |
| Ultrasound showing fluid collection in the olecranon bursa | 2 (12 %) |
| CT scan showing fluid densities in the subcutaneous tissues | 4 (24 %) |
| CT scan showing hypodense bursa with wall enhancement | 5 (29 %) |
| MRI showing bursal fluid collection with T1/T2 changes and gadolinium enhancement | 9 (53 %) |
| MRI showing evidence of osteomyelitis | 1 (6 %) |
| Laboratory data within 48 h of surgery, median (IQR) | |
| White blood cell count (WBC) ( L-1), | 9.2 (7.2–11.9) |
| Erythrocyte sedimentation rate (ESR) (mm s-1), | 38.0 (16.0–60.5) |
| C-reactive protein (CRP) (mg L-1), | 58.3 (13.3–139.4) |
* Represents the number of times a specific immunosuppressive medication was used, whether alone or in combination with other medications, among the 26 patients who were receiving pharmacologic immunosuppression. Other medications include mycophenolate, azathioprine, tacrolimus, rituximab, tocilizumab, and chemotherapy