Bursitis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
[[Surgical intervention]] is not recommended for the management of bursitis. However, surgical techniques include bursectomy are usually reserved for | [[Surgical intervention]] is not recommended for the management of bursitis. However, surgical techniques include bursectomy are usually 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> | ||
==Surgery== | ==Surgery== | ||
Surgical intervention is not recommended for the management of bursitis. However, bursectomy may be usually reserved for | Surgical intervention is not recommended for the management of bursitis. However, bursectomy may be usually 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 in patients with septic bursitis include: | *Indications for surgical intervention in patients with septic bursitis include: | ||
**Inability to drain the infected bursa effectively with [[aspiration|needle aspiration]] | **Inability to drain the infected bursa effectively with [[aspiration|needle aspiration]] |
Revision as of 21:36, 27 August 2016
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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 recommended for the management of bursitis. However, surgical techniques include bursectomy are usually reserved for patients with chronic, recurrent, or septic bursitis.[1]
Surgery
Surgical intervention is not recommended for the management of bursitis. However, bursectomy may be usually reserved for patients with chronic, recurrent, or septic bursitis.[1]
- Indications for surgical intervention in patients with septic 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
Trochanteric bursitis
Longitudinal iliotibial band (ITB) release alone and in combination with bursectomy, is a minimally invasive technique that may be result in a better outcome in refractory cases.[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.
- ↑ 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.