What is the role of endoscopic procedures in the treatment of bursitis?

Updated: Dec 11, 2020
  • Author: Kristine M Lohr, MD, MS; Chief Editor: Herbert S Diamond, MD  more...
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Answer

A small case series from Australia found endoscopic bursectomy to be safe and effective as therapy for infectious prepatellar bursitis and suggested that it reduced the duration of hospitalization and hastened return to work as compared with conventional open surgical treatment. [54]

A systematic review from The Netherlands found that for surgical treatment of chronic retrocalcaneal bursitis, endoscopic approaches appear to yield better results than open approaches; however, more evidence is needed to establish the optimal surgical approach. [20]

A Korean review of endoscopic resection in 30 patients with olecranon bursitis (15 of them septic) reported excellent outcomes without recurrence or joint motion limitation in both septic and aseptic cases. Average follow-up was 21.1 months. [55]

A series of 27 endoscopic bursectomies for recalcitrant septic bursitis (14 cases of olecranon bursitis and 13 cases of prepatellar bursitis) reported good results, with no wound healing complications and only 1 minor recurrence. [56]


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