Bursitis surgery
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
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
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
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.
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