Endoscopic bursal resection: the olecranon bursa and prepatellar bursa.
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.
Ogilvie-Harris
D J
DJ
Toronto Hospital and University of Toronto, Toronto, Ontario, Canada.
Gilbart
M
M
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D002061:Bursa, Synovial / Q000473:pathology / Q000601:surgery*; D002062:Bursitis / Q000175:diagnosis / Q000601:surgery*; D004551:Elbow Joint / Q000503:physiopathology / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011379:Prognosis; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome