Endoscopic versus open bursectomy of lateral malleolar bursitis

et al. 2019

Korean J Acupunct

This study details on a case of acupotomy for relapsed lateral malleolar bursitis. Methods : A 71-year-old woman with lateral malleolar bursitis was treated with acupotomy twice in an outpatient setting. A sterilized, disposable, blade width 0.5 mm × needle length 50 mm sized acupotomy was administered on GB40 and BL62 on each visit. Pain intensity assessment using Numeric Rating Scale (NRS) and the response evaluation criteria was conducted right after each treatment. Results : Pain on NRS declined from 5 to less than 1 after twice of acupotomy treatment. This result was regarded as 'Complete Response' using the response evaluation criteria. There were no side effects during whole treatment procedure at all. Conclusions : It is turned out that acupotomy can have a positive clinical effect on lateral malleolar bursitis in this case without any adverse effect. Further controlled studies on acupotomy for lateral malleolar bursitis are required for clinical application.

Section: Discussionmentioning

confidence: 99%

Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report

et al. 2019

Korean J Acupunct

“…Steroid injection is possible, but synovial proliferative bursitis with steroid injection is accompanied by a risk of fat atrophy and depigmentation of skin tissues, infection, tendon rupture, hyperglycemia and iatrogenic Cushing syndrome. In addition, there is a high likelihood of relapse when re-injection is difficult due to the above side effects [ 4 , 5 , 13 ]. Additionally, this synovial proliferation accompanied by vessel proliferation is hard to treat, and surgery is used when conservative treatment is not useful.…”

Section: Discussionmentioning

confidence: 99%

“…Bursitis with synovial proliferation accompanied by vessel infiltration is hard to treat [ 3 ], and surgery is considered when conservative treatments such as steroid injections or other treatments fail [ 2 ]. Despite the use of several conservative treatments, the rate of recurrence is high [ 4 5 ], and thus, many patients are not satisfied with conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study

Hong¹,

2016

Ann Rehabil Med

ObjectiveTo evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis.MethodsTwenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid.ResultsSwelling and symptoms significantly decreased in 13 of the 24 patients without any complications. Eleven patients had partial improvement in swelling and symptoms.ConclusionUltrasound-guided alcohol injection could be an alternative therapeutic option before surgery in patients with chronic intractable malleolar and olecranon synovial proliferative bursitis.

“…The symptoms are not severe unless an infection is present, and thus conservative management, such as aspiration, compression, and injection, is the first-line treatment. However, the recurrence rate is high [ 1 , 3 ], and infection may occur during treatment. When infection develops, bone may become exposed because of the thin overlying soft tissue.…”

Section: Introductionmentioning

confidence: 99%

Chronic Open Infective Lateral Malleolus Bursitis Management Using Local Rotational Flap

BioMed Research International

Jung

et al. 2017

Background Using a sinus tarsi rotational flap is an uncommon approach to treating chronic open infective lateral malleolus bursitis. Methods We treated eight patients, including six males, using this approach. First, we debrided all the infected tissues and used a negative pressure wound closure system where needed. After acute infection had been controlled, the local rotational flap was used for cases where the wound could not be closed by a simple suture or bone exposure. The rotational flap was detached with a curved skin incision at the sinus tarsi next to the open wound and sutured to the defect, paying careful attention to the superficial peroneal nerve. The donor site was managed with a split-thickness skin graft. Results The patients' mean age was 74.1 years. Six patients had a wound after suppurative infection, but two patients had ulcer-type bursitis. Six patients demonstrated full flap healing, but two patients had venous congestion necrosis. Conclusion A sinus tarsi rotational flap is a useful method to ensure healing and coverage of chronic open lateral malleolus bursitis, especially for small to medium wounds with cavity and bone exposure.