Case Report Endoscopic resection of the septic prepatellar bursa

Kaalund, Soeren; Breddam, Marianne; Kristensen, Gitte

doi:10.1016/s0749-8063(98)70105-7

Cited by 13 publications

(9 citation statements)

References 6 publications

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“…Prepatellar bursitis commonly presents with thickening of the overlying skin. To reach into the prepatellar bursa, standard anteromedial and anterolateral knee arthroscopic portals can be used, but two lateral portals can also be utilized to protect the infrapatellar nerve [ 14 ]. Tendon injury during arthroscopic excision can be avoided by pointing the shaver blade away from the tendon and only turning the shaver on when in direct visualization of the blade tip.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic versus Open Bursectomy for Prepatellar and Olecranon Bursitis

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Atik

et al. 2018

Cureus

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ObjectivesBursitis of the olecranon and the patella are not rare disorders, and conservative management is successful in most cases. However, when patients do not respond to conservative treatment, open excisional surgery or, recently, endoscopic bursectomy, can be used. The aim of this study was to evaluate the results of open and endoscopic treatments of olecranon and prepatellar bursitis.Patients and methodsForty-nine patients (37 male and 12 female), who were treated with endoscopic bursectomy (25 patients) or open bursectomy (24 patients) were included in this study. Thirty patients had olecranon bursitis, while 19 patients had prepatellar bursitis. The patients’ average age was 61.1 ± 12.3 (range 33-81) years. All of the patients’ hospitalization and surgery times were recorded.The satisfaction of the patients was evaluated with a satisfaction scoring system, as well as by evaluating residual pain, the range of joint movement, and the cosmetic results of the procedure.ResultsThe average follow-up time was 16 ± 9 months (range 12–27). The median operation time was 23.2 ± 3.5 minutes for the endoscopic bursectomy group and 26.4 ± 6.8 minutes for the open bursectomy group. The median hospitalization time was 0.56 ± 0.5 days (range 0-1 day) for the endoscopic group and 1 ± 0 days for the open bursectomy group (P<0.01).According to the patient satisfaction questionnaire, the endoscopic bursectomy group’s score was 8.5 ± 1.3 (range 5-10), and the open bursectomy group’s score was 5.29 ± 1.8 (range 1-9) (P<0.01).ConclusionEndoscopic bursectomy is a time-saving and efficient surgical treatment option for patients with prepatellar and olecranon bursitis.

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Section: Discussionmentioning

confidence: 99%

Endoscopic versus Open Bursectomy for Prepatellar and Olecranon Bursitis

Meriç

Sargın

Atik

et al. 2018

Cureus

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“…Cicatrices, keloids or loss of sensation was not seen in any of our patients. Complications such as wound infections, joint motion, returning to work late and local loss of sensation are rarely seen after endoscopic procedures [18]. In experienced hands; endoscopy is a highly safe, effective and inexpensive surgical treatment for all types of bursitis with promising results.…”

Section: Discussionmentioning

confidence: 99%

Treatment of nonseptic bursitis with endoscopic surgery

et al. 2015

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ÖZETAmaç: Amacımız, nonseptik bursitlerde endoskopik cerrahinin yara problemleri, hareket açıklıkları ve işe erken dönüş açısından çok önemli faydalar sağladığını göste-ren kabul edilebilir bir işlem olduğunu göstermektir. Sonuç: Endoskopik bursektomi kısa ameliyat ve işe dön-me süresi, minimal yara problemleri ve mükemmel sonuç-lar nedeniyle güvenilir ve uygulanabilir bir işlemdir.Anahtar kelimeler: Bursit, endoskopi, tedavi 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

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“…However, there may be associated morbidity with this procedure such as prolonged exudation, recurrence, scar tenderness, chronic sinus tract formation and pre-patellar hypothesia from injury to the infra-patellar nerve. There is little in the literature describing endoscopic treatment of infective prepatellar bursitis [7]. Gómez-Rodríguez et al [4] reported the successful non-operative management with intravenous antibiotics alone but the average hospital admission for this cohort of patients was 11 days.…”

Section: Discussionmentioning

confidence: 99%