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.
    Arthroscopy The Journal of Arthroscopic and Related Surgery 05/2000; 16(3):249-53. · 3.10 Impact Factor
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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.
    The surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 04/2012; 10(5):297-300. · 1.97 Impact Factor
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    ABSTRACT: BACKGROUND: Although traumatic lacerations of the olecranon (OB) and praepatellar bursae (PB) are common entities often associated with complications, no study could be found on this injury. The aim of this study was to survey the current treatment concepts for acute traumatic laceration of the OB and PB in Germany, Austria and Switzerland. MATERIALS AND METHODS: An international online survey was conducted among orthopaedic and trauma surgeons in Germany (TraumaNetwork DGU), Austria (Austrian Society of Trauma (ÖGU) and Orthopaedic (ÖGO) Surgeons) and Switzerland (Swiss Orthopaedic Surgeons and Swiss Society of Infectious Disease (CH)) (n=1967). The survey comprised of five demographical questions, the current treatment concepts were evaluated using a case study. RESULTS: The overall-response-rate was 16% (12-46%). 88% of the responding physicians were male, aged 47.5±10.2 years with a mean working experience of 20.1±10.6 years. 54% of the surveyed physicians were either senior or chief physicians. Treatment concepts varied significantly between DGU and ÖGO/CH (p=0.02/p=0.006), no significant differences could be found between DGU and ÖGU. Generally, German and Austrian trauma surgeons favoured bursectomy (86.7%/90.9%) and immobilisation (68.3%/77.3%). Austrian orthopaedic surgeons performed fewer bursectomies (69.3%) but had the highest proportion for administering antibiotics (73.9%). Less than 50% of Swiss physicians indicated bursectomy as a treatment option. CONCLUSION: Overall, this survey revealed a significant heterogeneity in treatment approaches in Central Europe. Further evidence is needed to identify the best treatment concepts for traumatic lacerations of the OB and PB.
    Injury 09/2012; · 2.46 Impact Factor