What is the cause of a growing and tender olecranon (elbow) mass?

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Last updated: April 20, 2025View editorial policy

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Differential Diagnosis for a Growing, Tender Bump on the Elbow

  • Single Most Likely Diagnosis
    • Olecranon bursitis: This condition is characterized by inflammation of the bursa at the elbow, leading to a swollen, tender bump. It's a common issue, especially in individuals who frequently lean on their elbows or have experienced trauma to the area.
  • Other Likely Diagnoses
    • Elbow cyst or ganglion: These are fluid-filled lumps that can develop near joints or tendons, often becoming tender and growing over time.
    • Lipoma: A benign fatty tumor that can appear as a growing bump, potentially becoming tender if it presses on nearby nerves or structures.
    • Abscess or infected sebaceous cyst: An infection in the skin or a cyst can cause a growing, tender bump, especially if it becomes filled with pus.
  • Do Not Miss Diagnoses
    • Osteosarcoma or other bone tumors: Although rare, these malignant tumors can present as a growing bump on the elbow and are critical to diagnose early for effective treatment.
    • Septic arthritis or osteomyelitis: Infections within the joint or bone can cause swelling, tenderness, and a growing bump, requiring prompt antibiotic treatment to prevent serious complications.
    • Soft tissue sarcoma: A rare but potentially deadly tumor that can appear as a growing mass, emphasizing the importance of early diagnosis and treatment.
  • Rare Diagnoses
    • Gouty tophus: A deposit of uric acid crystals that can form a lump under the skin, often near joints, and can become tender during gout attacks.
    • Rheumatoid nodule: Associated with rheumatoid arthritis, these nodules can appear on the skin, including near the elbow, and may be tender.
    • Xanthoma: A rare, benign growth that can appear as a bump on the skin, sometimes related to lipid disorders.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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