A New Approach to the Surgical Treatment of Olecranon Bursitis.
Loading...
Date
2014-01-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Aims: To describe a new approach to the surgical treatment of the nonseptic olecranon
bursitis.
Methods: The study included 14 patients (13 men, 1 woman; age range 51-77 years)
treated in a 10-year period. Patients with a systemic inflammatory disease were
excluded. All patients had already been treated with bursal aspiration associated with
multiple punctures of the cyst wall and compressive dressing. Clinical features,
ultrasonography and analysis of the aspirated bursal fluid were indicative of a nonseptic
olecranon bursitis. The new approach included surgical incision to drain the bursa and
the use of a Penrose drain tube for post-operative drainage for an average of 5 days.
The wound was treated by secondary closure. No antibiotics were used.
Results: Eleven patients showed rapid secondary healing of the wound which reached 7
to 14 days following the Penrose drain removal. Wound healing was delayed in 3
patients and required approximately a month. The long-term follow-up ranged from 2 to
10 years. No recurrences or complications were encountered.
Conclusion: This novel approach proves that excision of the bursa is not a mandatory
step in the surgical treatment of olecranon bursitis. It is worthwhile to consider this new
approach as the first step in the surgical management of the, non-responsive to
conservative treatment, nonseptic olecranon bursitis.
Description
Keywords
Nonseptic olecranon bursitis, new approach, Penrose drain, secondary closure
Citation
Sferopoulos Nikolaos K. A New Approach to the Surgical Treatment of Olecranon Bursitis. British Journal of Medicine and Medical Research. 2014 Jan; 4(1): 272-278.