Bursitis surgery: Difference between revisions
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[[Surgical intervention]] is not recommended for the management of bursitis. However, surgical techniques include [[bursectomy]] and Longitudinal band release 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> | [[Surgical intervention]] is not recommended for the management of bursitis. However, surgical techniques include [[bursectomy]] and Longitudinal band release 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 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> | ===Bursectomy=== | ||
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 (open incision/endoscopic [[bursectomy]]) in patients with bursitis include: | *Indications for surgical intervention (open incision/endoscopic [[bursectomy]]) in patients with bursitis include: | ||
**Inability to drain the infected bursa effectively with [[aspiration|needle aspiration]] | **Inability to drain the infected bursa effectively with [[aspiration|needle aspiration]] | ||
| Line 14: | Line 15: | ||
**Chronically infected and thickened bursa | **Chronically infected and thickened bursa | ||
**Sever refractory and recurrent bursitis | **Sever refractory and recurrent bursitis | ||
=== | ===Longitudinal iliotibial band (ITB)=== | ||
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.<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> | 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 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== | ||
Revision as of 18:43, 30 August 2016
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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 recommended for the management of bursitis. However, surgical techniques include bursectomy and Longitudinal band release are usually reserved for patients with chronic, recurrent, or septic bursitis.[1]
Surgery
Bursectomy
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 (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
- Sever refractory and recurrent bursitis
Longitudinal iliotibial band (ITB)
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 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.
- ↑ 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.