Olecranon bursitis — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 63 of 2018

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting olecranon bursitis or death from olecranon bursitis with the circumstances of a person's relevant service:

1. (1)
   having a bacterial, fungal or algal infection involving the affected bursa at the time of the clinical onset of olecranon bursitis;
2. (2)
   having trauma to the external elbow of the affected side in the 30 days before the clinical onset of olecranon bursitis;

   Note: Examples of types of trauma include cuts, abrasions and lacerations of the affected elbow, repeated rubbing or knocking of the affected elbow, needle aspiration of the affected olecranon bursa and injection of the affected olecranon bursa with corticosteroids.

3. (3)
   having surgery to the external elbow of the affected side in the 30 days before the clinical onset of olecranon bursitis;
4. (4)
   for septic olecranon bursitis only, being in an immunocompromised state as specified at the time of the clinical onset of olecranon bursitis;

   Note: immunocompromised state as specified is defined in the Schedule 1 - Dictionary.

5. (5)
   having a disorder from the specified list of disorders at the time of the clinical onset of olecranon bursitis;

   Note: specified list of disorders is defined in the Schedule 1 - Dictionary.

6. (6)
   having psoriasis, localised sclerosis, atopic dermatitis or another inflammatory skin disorder, where the skin disorder involves the skin of the extensor surface of the affected elbow, at the time of the clinical onset of olecranon bursitis;
7. (7)
   being treated with a tyrosine kinase inhibitor within the 30 days before the clinical onset of olecranon bursitis;
8. (8)
   having a bacterial, fungal or algal infection involving the affected bursa at the time of the clinical worsening of olecranon bursitis;
9. (9)
   having trauma to the external elbow of the affected side in the 30 days before the clinical worsening of olecranon bursitis;

   Note: Examples of types of trauma include cuts, abrasions and lacerations of the affected elbow, repeated rubbing or knocking of the affected elbow, needle aspiration of the affected olecranon bursa and injection of the affected olecranon bursa with corticosteroids.

10. (10)
    having surgery to the external elbow of the affected side in the 30 days before the clinical worsening of olecranon bursitis;
11. (11)
    for septic olecranon bursitis only, being in an immunocompromised state as specified at the time of the clinical worsening of olecranon bursitis;

    Note: immunocompromised state as specified is defined in the Schedule 1 - Dictionary.

12. (12)
    having a disorder from the specified list of disorders at the time of the clinical worsening of olecranon bursitis;

    Note: specified list of disorders is defined in the Schedule 1 - Dictionary.

13. (13)
    having psoriasis, localised sclerosis, atopic dermatitis or another inflammatory skin disorder, where the skin disorder involves the skin of the extensor surface of the affected elbow, at the time of the clinical worsening of olecranon bursitis;
14. (14)
    being treated with a tyrosine kinase inhibitor within the 30 days before the clinical worsening of olecranon bursitis;
15. (15)
    inability to obtain appropriate clinical management for olecranon bursitis;

Aggravation-only factors: the factors in subsections 8(8) to 8(15) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.