Article

Prepatellar and olecranon arthroscopic bursectomy.

Binghamton Clinical Campus, State University of New York, Health Science Center, Syracuse.
Clinics in Sports Medicine (Impact Factor: 2.38). 02/1993; 12(1):137-42.
Source: PubMed

ABSTRACT Arthroscopic resection of prepatellar and olecranon bursae is a technically feasible operation. It is not more difficult than removing synovium from the suprapatellar pouch of the knee. Although there have been complications, this procedure appears to avoid the problems about the wound described with the open excisional operations for chronic olecranon and prepatellar bursitis.

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    ABSTRACT: We treated 31 cases of olecranon bursitis and 19 cases of prepatellar bursitis. The average duration of symptoms before surgery was 1.1 years with a range of 3 months to 4 years. All patients had had preoperative aspiration and injection of cortisone. Patients underwent an arthroscopic bursal resection, removing all the bursal sack that could be seen. The results indicated that 86% of patients after olecranon bursectomy had no pain whatsoever. In the patients with prepatellar bursitis, 66% had no pain whatsoever, but we did note some residual tenderness in 24% of the patients, and 10% had pain on kneeling. There were 2 recurrences; 1 patient had rheumatoid arthritis and 1 repetitive daily trauma to the knee. There were no significant complications.
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    ABSTRACT: We aim to review the current knowledge on diagnosis, clinical features and main management modalities of olecranon bursitis. We underline that the first treatment line is conservative, including ice, rest, anti-inflammatory and analgesic drugs and, occasionally, bursal fluid aspiration. In unresponsive patients, although open excisional procedures allow to completely remove the pathological bursal tissue, arthroscopy is increasingly being considered as a suitable new modality of management. These minimally invasive procedures, although not free from complications, avoid the wound problems often occurring following open excision.
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