Bursitis surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
===Bursectomy=== | ===Bursectomy=== | ||
Surgical intervention is not recommended for the management of bursitis. | Surgical intervention is not usually recommended for the management of bursitis. [[Bursectomy]] is generally reserved for patients with chronic, recurrent, or septic bursitis.<ref name="pmid20521045">{{cite journal| author=Huang YC, Yeh WL| title=Endoscopic treatment of prepatellar bursitis. | journal=Int Orthop | year= 2011 | volume= 35 | issue= 3 | pages= 355-8 | pmid=20521045 | doi=10.1007/s00264-010-1033-5 | pmc=3047636 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20521045 }} </ref> | ||
Indications for surgical intervention (open incision/endoscopic [[bursectomy]]) in patients with bursitis include: | |||
*Inability to drain the infected bursa effectively with [[aspiration|needle aspiration]] | |||
*Presence of a foreign body in superficial bursa | |||
*Adjacent skin or soft tissue infection requiring [[debridement]] | |||
*Critically ill patients who are [[immunocompromised]] | |||
* | *Chronically infected and thickened bursa | ||
*Severe refractory and recurrent bursitis | |||
===Longitudinal band release=== | ===Longitudinal band release=== | ||
Longitudinal iliotibial band (ITB) release alone | Longitudinal iliotibial band (ITB) release, alone or in combination with bursectomy, is a minimally invasive technique that may improve outcomes in refractory cases of [[trochanteric bursitis]].<ref name="pmid21814140">{{cite journal| author=Lustenberger DP, Ng VY, Best TM, Ellis TJ| title=Efficacy of treatment of trochanteric bursitis: a systematic review. | journal=Clin J Sport Med | year= 2011 | volume= 21 | issue= 5 | pages= 447-53 | pmid=21814140 | doi=10.1097/JSM.0b013e318221299c | pmc=3689218 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21814140 }} </ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Rheumatology]] | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:46, 29 July 2020
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Bursitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Bursitis surgery On the Web |
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American Roentgen Ray Society Images of Bursitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Surgical intervention is not usually recommended for the management of bursitis. Surgical techniques such as bursectomy or longitudinal band release are generally reserved for patients with chronic, recurrent, or septic bursitis.[1][2]
Surgery
Bursectomy
Surgical intervention is not usually recommended for the management of bursitis. Bursectomy is generally reserved for patients with chronic, recurrent, or septic bursitis.[1]
Indications for surgical intervention (open incision/endoscopic bursectomy) in patients with bursitis include:
- Inability to drain the infected bursa effectively with needle aspiration
- Presence of a foreign body in superficial bursa
- Adjacent skin or soft tissue infection requiring debridement
- Critically ill patients who are immunocompromised
- Chronically infected and thickened bursa
- Severe refractory and recurrent bursitis
Longitudinal band release
Longitudinal iliotibial band (ITB) release, alone or in combination with bursectomy, is a minimally invasive technique that may improve outcomes in refractory cases of trochanteric bursitis.[2]
References
- ↑ 1.0 1.1 Huang YC, Yeh WL (2011). "Endoscopic treatment of prepatellar bursitis". Int Orthop. 35 (3): 355–8. doi:10.1007/s00264-010-1033-5. PMC 3047636. PMID 20521045.
- ↑ 2.0 2.1 Lustenberger DP, Ng VY, Best TM, Ellis TJ (2011). "Efficacy of treatment of trochanteric bursitis: a systematic review". Clin J Sport Med. 21 (5): 447–53. doi:10.1097/JSM.0b013e318221299c. PMC 3689218. PMID 21814140.