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Treatment of nonseptic bursitis with endoscopic surgery

Year 2015, , 220 - 223, 25.10.2015
https://doi.org/10.5799/ahinjs.01.2015.03.0522

Abstract

Objective: The aim of this study was to show that endoscopic surgery is a simple and acceptable method for various problems associated with wounds, range of motion and that such surgery ensures an early return to work after treatment of nonresponding nonseptic bursitis.

Methods: Thirty-two patients with nonseptic bursitis caused by repeated minor trauma that did not respond to medical treatment from 2008 to 2012 were included in this study. Radiographic [anteroposterior and lateral], ultrasound, macro and microscopic analyses of drainage liquid and aerobic and anaerobic cultures were obtained from the patients for the diagnosis.

Results: The mean age was 40.8 years. Fifteen patients had prepatellar bursitis, 13 had olecranon bursitis and 4 had ankle bursitis. Two patients had a history of falling on their knee. The other patients had a history of repetitive stimulation .The mean follow up period was 2.6 years [range. 2-5 years] and no medical complications occurred after the endoscopic surgery; such as scarring, loss of sensation and infection. One recurrence in response to medical treatment was observed.

Conclusion: Endoscopic bursectomy is a short and acceptable procedure with excellent results in terms of returning to work early and minimal wound related problems. J Clin Exp Invest 2015; 6 (3): 220-223

Key worlds: Endoscopy, bursitis, treatment

References

  • Crenshaw AH. Campbells’s operative orthopaedics. St Louis: Mosby; 1992.
  • Ogilvie Harris DJ, Gilbart M. Endoscopic bursal resection: the olecranon bursa and prepatellar bursa. Arthroscopy 2000;16:249-253.
  • Kerr DR. Prepatellar and olecranon arthroscopic bursectomy. Clin Sports Med. 1993;12:137-142.
  • Donahue F, Turkel D, Mnaymneh W, Ghandur Mnaymneh L. Hemorrhagic prepatellar bursitis. Skeletal Radiol 1996;25:298-301.
  • Garcia Porrua C, Gonzalez Gay MA, Ibanez D, Garcia Pais MJ. The clinical spectrum of severe septic bursitis in northwestern Spain: a 10 year study. J Rheumatol 1999;26:663-667.
  • Gomez Rodriguez N, Mendez Garcia MJ, Ferreiro Seoane JL, Ibanez Ruan J, Penelas-Cortes Bellas Y. [Infectious bursitis: study of 40 cases in the prepatellar and olecranon regions]. Enferm Infecc Microbiol Clín 1997;15:237-242.
  • Papadakis KA, Vartivarian SE, Vassilaki ME, Anaissie EJ. Septic prepatellar bursitis caused by Stenotrophomonas (Xanthomonas) maltophilia. Clin Infect Dis 1996;22:388-389.
  • McAfee JH, Smith DL. Olecranon and prepatellar bursitis. Diagnosis and treatment. West J Med 1988;149:607-610.
  • Quayle JB, Robinson MP. A useful procedures in the treatment of chronic olecranon bursitis. Injury. 1978;9:299-302.
  • Quayle JB, Robinson MP. An operation for chronic prepatellar bursitis. J Bone Joint Surg (Br)1976;58:504-506.
  • Nussbaumer P, Candrian C, Hollinger A. [Endoscopic bursa shaving in acute bursitis]. Swiss Surg 2001;7:121-125.
  • Steinacker T, Verdonck A. [Endoscopic therapy of prepatellar bursitis]. Sportverletz Sportschaden1998;12:162-164.
  • Stell IM. Management of acute bursitis: outcome study of a structured approach. J R Soc Med 1999;92:516-521.
  • Freys SM. [Olecranon and prepatellar bursitis]. Langenbecks Arch Chir Suppl Kongressbd1997;114:493-496.
  • Pien FD, Ching D, Kim E. Septic bursitis: experience
  • in a community practice. Orthopaedics 1991;14:981-984.
  • Witonski D. [Arthroscopic resection of bursitis changes in the prepatellar bursae-preliminary report]. Chir Narzadov Ruchu Ortopedia Polska 1997;62:63-65.
  • Huang YC, Yeh WL. Endoscopic treatment of prepatellar bursitis. Int Orthop 2011;35:355-358.
  • Kaalund S, Breddam M, Kristensen G. Endoscopic resection of the septic prepatellar bursa. Arthroscopy 1998;14:757-758.

Non-Septik bursitlerin endoskopik cerrahi ile tedavisi

Year 2015, , 220 - 223, 25.10.2015
https://doi.org/10.5799/ahinjs.01.2015.03.0522

Abstract

Amaç: Amacımız, nonseptik bursitlerde endoskopik cerrahinin yara problemleri, hareket açıklıkları ve işe erken dönüş açısından çok önemli faydalar sağladığını gösteren kabul edilebilir bir işlem olduğunu göstermektir.Yöntemler: Bu çalışmaya 2008-2012 yılları arasında medikal tedaviye yanıt vermemiş tekrarlayan minör travmalarla oluşmuş nonseptik bursitisli hastalar alındı. Tanı için tüm hastalarda; AP ve yan grafiler, ultrasound, sıvının mikro ve makroskopik analizleri ve aerobik ve anaerobik kültürler çalışıldı. Bulgular: Yaş ortalamaları 40,8 yıl ve takip süresi 2,6[25] yıl olan ikisi diz travması ve diğerleri repetitif minör travmalarla oluşan 15 prepatellar 13 olekranon ve 4 ayak bileği bursitinde; endoskopik cerrahi sonrası yara skarı, duyu kaybı ve enfeksiyon gibi komplikasyonlar olmadı. Medikal tedaviye yanıt veren 1 adet nüks görüldü.Sonuç: Endoskopik bursektomi kısa ameliyat ve işe dönme süresi, minimal yara problemleri ve mükemmel sonuçlar nedeniyle güvenilir ve uygulanabilir bir işlemdir

References

  • Crenshaw AH. Campbells’s operative orthopaedics. St Louis: Mosby; 1992.
  • Ogilvie Harris DJ, Gilbart M. Endoscopic bursal resection: the olecranon bursa and prepatellar bursa. Arthroscopy 2000;16:249-253.
  • Kerr DR. Prepatellar and olecranon arthroscopic bursectomy. Clin Sports Med. 1993;12:137-142.
  • Donahue F, Turkel D, Mnaymneh W, Ghandur Mnaymneh L. Hemorrhagic prepatellar bursitis. Skeletal Radiol 1996;25:298-301.
  • Garcia Porrua C, Gonzalez Gay MA, Ibanez D, Garcia Pais MJ. The clinical spectrum of severe septic bursitis in northwestern Spain: a 10 year study. J Rheumatol 1999;26:663-667.
  • Gomez Rodriguez N, Mendez Garcia MJ, Ferreiro Seoane JL, Ibanez Ruan J, Penelas-Cortes Bellas Y. [Infectious bursitis: study of 40 cases in the prepatellar and olecranon regions]. Enferm Infecc Microbiol Clín 1997;15:237-242.
  • Papadakis KA, Vartivarian SE, Vassilaki ME, Anaissie EJ. Septic prepatellar bursitis caused by Stenotrophomonas (Xanthomonas) maltophilia. Clin Infect Dis 1996;22:388-389.
  • McAfee JH, Smith DL. Olecranon and prepatellar bursitis. Diagnosis and treatment. West J Med 1988;149:607-610.
  • Quayle JB, Robinson MP. A useful procedures in the treatment of chronic olecranon bursitis. Injury. 1978;9:299-302.
  • Quayle JB, Robinson MP. An operation for chronic prepatellar bursitis. J Bone Joint Surg (Br)1976;58:504-506.
  • Nussbaumer P, Candrian C, Hollinger A. [Endoscopic bursa shaving in acute bursitis]. Swiss Surg 2001;7:121-125.
  • Steinacker T, Verdonck A. [Endoscopic therapy of prepatellar bursitis]. Sportverletz Sportschaden1998;12:162-164.
  • Stell IM. Management of acute bursitis: outcome study of a structured approach. J R Soc Med 1999;92:516-521.
  • Freys SM. [Olecranon and prepatellar bursitis]. Langenbecks Arch Chir Suppl Kongressbd1997;114:493-496.
  • Pien FD, Ching D, Kim E. Septic bursitis: experience
  • in a community practice. Orthopaedics 1991;14:981-984.
  • Witonski D. [Arthroscopic resection of bursitis changes in the prepatellar bursae-preliminary report]. Chir Narzadov Ruchu Ortopedia Polska 1997;62:63-65.
  • Huang YC, Yeh WL. Endoscopic treatment of prepatellar bursitis. Int Orthop 2011;35:355-358.
  • Kaalund S, Breddam M, Kristensen G. Endoscopic resection of the septic prepatellar bursa. Arthroscopy 1998;14:757-758.
There are 19 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Azad Yıldırım This is me

Ahmet Kapukaya This is me

Yılmaz Mertsoy This is me

Şehmus Yiğit This is me

Mehmet Çaçan This is me

Publication Date October 25, 2015
Published in Issue Year 2015

Cite

APA Yıldırım, A., Kapukaya, A., Mertsoy, Y., Yiğit, Ş., et al. (2015). Treatment of nonseptic bursitis with endoscopic surgery. Journal of Clinical and Experimental Investigations, 6(3), 220-223. https://doi.org/10.5799/ahinjs.01.2015.03.0522
AMA Yıldırım A, Kapukaya A, Mertsoy Y, Yiğit Ş, Çaçan M. Treatment of nonseptic bursitis with endoscopic surgery. J Clin Exp Invest. November 2015;6(3):220-223. doi:10.5799/ahinjs.01.2015.03.0522
Chicago Yıldırım, Azad, Ahmet Kapukaya, Yılmaz Mertsoy, Şehmus Yiğit, and Mehmet Çaçan. “Treatment of Nonseptic Bursitis With Endoscopic Surgery”. Journal of Clinical and Experimental Investigations 6, no. 3 (November 2015): 220-23. https://doi.org/10.5799/ahinjs.01.2015.03.0522.
EndNote Yıldırım A, Kapukaya A, Mertsoy Y, Yiğit Ş, Çaçan M (November 1, 2015) Treatment of nonseptic bursitis with endoscopic surgery. Journal of Clinical and Experimental Investigations 6 3 220–223.
IEEE A. Yıldırım, A. Kapukaya, Y. Mertsoy, Ş. Yiğit, and M. Çaçan, “Treatment of nonseptic bursitis with endoscopic surgery”, J Clin Exp Invest, vol. 6, no. 3, pp. 220–223, 2015, doi: 10.5799/ahinjs.01.2015.03.0522.
ISNAD Yıldırım, Azad et al. “Treatment of Nonseptic Bursitis With Endoscopic Surgery”. Journal of Clinical and Experimental Investigations 6/3 (November 2015), 220-223. https://doi.org/10.5799/ahinjs.01.2015.03.0522.
JAMA Yıldırım A, Kapukaya A, Mertsoy Y, Yiğit Ş, Çaçan M. Treatment of nonseptic bursitis with endoscopic surgery. J Clin Exp Invest. 2015;6:220–223.
MLA Yıldırım, Azad et al. “Treatment of Nonseptic Bursitis With Endoscopic Surgery”. Journal of Clinical and Experimental Investigations, vol. 6, no. 3, 2015, pp. 220-3, doi:10.5799/ahinjs.01.2015.03.0522.
Vancouver Yıldırım A, Kapukaya A, Mertsoy Y, Yiğit Ş, Çaçan M. Treatment of nonseptic bursitis with endoscopic surgery. J Clin Exp Invest. 2015;6(3):220-3.