Prepatellar and olecranon arthroscopic bursectomy.
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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- "Witonski  suggested an arthroscopic resection of prepatellar bursitis of traumatic origin with good cosmetic results and economic advantages (reduced costs, time-saving and shortened hospital stays). Kerr et al.  reported that arthroscopic bursectomy could prevent wound problems [11–16]; however, their patients needed hospitalisation and general anaesthesia. "
ABSTRACT: Operative treatment of prepatellar bursitis is indicated in intractable bursitis. The most common complication of surgical treatment for prepatellar bursitis is skin problems. For traumatic prepatellar bursitis, we propose a protocol of outpatient endoscopic surgery under local anaesthesia. From September 1996 to February 2001, 60 cases of failed nonoperative treatment for prepatellar bursitis were included. The average age was 33.5 ± 11.1 years (range 21-55). The average operation duration was 18 minutes. Two to three mini-arthroscopic portals were used in our series. No sutures or a simple suture was needed for the portals after operation. After follow-up for an average of 36.3 months, all patients are were symptom-free and had regained knee function. None of the population had local tenderness or hypo-aesthesia around their wound. Their radiographic and sonographic examinations showed no recurrence of bursitis. Outpatient arthroscopic bursectomy under local anaesthesia is an effective procedure for the treatment of post-traumatic prepatellar bursitis after failed conservative treatments. Both the cosmetic results and functional results were satisfactory.International Orthopaedics 03/2011; 35(3):355-8. DOI:10.1007/s00264-010-1033-5 · 2.11 Impact Factor
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ABSTRACT: Endoscopic surgery of the limbs. Creation of a space to work in is necessary for endoscopic surgery. In orthopedics, the joints have long been the privileged sites of ar- throscopic treatment. However, subacromial decompression or the endoscopic treatment of carpal tunnel syndrome have been used for many decades and have shown that it is possible to work outside of the articulations. At the end of 2003 we held a symposium with the French Society of Arthroscopy to better define the possibility of endoscopic surgery outside of the joints in orthopaedic practice. These techniques are rarely practised and, in general, fewer than 10 surgeons have more than an anecdotal experience. However, we believe that these techniques, rather than being isolated and without a future, are the beginning of a new era. Extra-articular endoscopy is only part of the development of mini-invasive surgery. The en- doscope is the technical means to control and/or realize less inva- sive procedures, believed to lessen morbidity.
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ABSTRACT: Surgical arthroscopy is indicated primarily in the treatment of radiocapitellar disorders and soft tissue disorders, or bony ankylosis of the elbow joint. However, there are other elbow conditions in which the arthroscope is beneficial, particularly by the treatment of lateral epicondylitis and olecranon bursitis. Chronic lateral epicondylitis can result in damage to the common origin of the extensor carpi radialis brevis muscle. Lesions range from microtears to attenuation and tearing or rupture of the tendon. The damage has been classified arthroscopically into the following three types: type I consists of inflammation and fraying, type II consists of linear tears of the undersurface of the extensor carpi radialis brevis tendon, and type III is an avulsion of the tendon and overlying capsule. Operative treatment involves debriding the diseased capsule and releasing of the tendinous origin of extensor carpi radialis brevis muscle and decorticating the lateral epicondyle. Clinical results of this technique are encouraging. Direct trauma is the most common cause of olecranon bursitis, but it can also be caused by infection or inflammation. Although best managed nonoperatively, the condition may require surgical intervention. The arthroscope is used to excise the olecranon bursa and examine the olecranon tip for spurs. Early results of this procedure have also been encouraging with no major complications or infections.Operative Techniques in Sports Medicine 01/1998; 6(1-6):16-21. DOI:10.1016/S1060-1872(98)80033-6 · 0.20 Impact Factor