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"Bursitis"

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"Bursitis"

Original Article

Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study
Ji Seong Hong, Hyoung Seop Kim, Jin Hyung Lee
Ann Rehabil Med 2016;40(2):310-317.   Published online April 25, 2016
DOI: https://doi.org/10.5535/arm.2016.40.2.310
Objective

To evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis.

Methods

Twenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid.

Results

Swelling and symptoms significantly decreased in 13 of the 24 patients without any complications. Eleven patients had partial improvement in swelling and symptoms.

Conclusion

Ultrasound-guided alcohol injection could be an alternative therapeutic option before surgery in patients with chronic intractable malleolar and olecranon synovial proliferative bursitis.

Citations

Citations to this article as recorded by  
  • Bursitis in the nonarticular part of the mandible in atopic dermatitis
    Natsumi Miyata, Toshihiko Hayashi, Joji Hayashi, Takuya Nishio, Sayaka Yuzawa, Naoko Aoki, Takeshi Yamao
    Oral and Maxillofacial Surgery.2025;[Epub]     CrossRef
  • Intrabursal Doxycycline Sclerotherapy for Recurrent Olecranon Bursitis of the Elbow: A Case Control Study
    Daniel McDermott, Dorothy Wakefield, Marc Kowalsky, Paul Sethi, Mark A. Vitale, Bernard F. Morrey
    Journal of Hand Surgery Global Online.2024; 6(4): 504.     CrossRef
  • Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle
    Yeo Kwon Yoon, Jae Han Park, Jiyoun Kim, Seung Hwan Han, Seung Hwan Shin, Jin Woo Lee, Kwang Hwan Park
    Clinics in Orthopedic Surgery.2022; 14(2): 289.     CrossRef
  • Saline Load Test and Quilting Sutures to Treat Intractable Lateral Malleolar Bursitis
    Ho Won Lee, Ik Yang, Yuxuan Liu, Jong-Hwa Lee, Hyong Nyun Kim
    The Journal of Foot and Ankle Surgery.2021; 60(2): 345.     CrossRef
  • Clinical Management of Olecranon Bursitis: A Review
    Nzuekoh N. Nchinda, Jennifer Moriatis Wolf
    The Journal of Hand Surgery.2021; 46(6): 501.     CrossRef
  • Outcome of triamcinolone acetonide injection for lateral malleolar bursitis
    Tae Sik Goh, Tae Young Ahn, Kyeongbaek Kim, Won Chul Shin, Nam Hoon Moon, Seung Hun Woo
    Journal of Orthopaedic Surgery.2020;[Epub]     CrossRef
  • Medial Malleolar Bursitis in an Elite Competitive Alpine Skier: A Case Report
    Stefan Fröhlich, Stefan M. Zimmermann, Reto Sutter, Walter O. Frey, Jörg Spörri
    Current Sports Medicine Reports.2020; 19(10): 399.     CrossRef
  • 11,275 View
  • 99 Download
  • 6 Web of Science
  • 7 Crossref

Case Report

Treatment of Synovial Proliferative Subdeltoid Bursitis through Alcohol Installation: A case report.
Shin, Jung Bin , Joo, Seung Ho , Kim, Hyoung Seop , Cho, Hyung Keun
J Korean Acad Rehabil Med 2010;34(1):106-109.
For patients with bursitis, the treatment modality of choice was conservative treatment, and those who did not experience symptom relief usually received surgery. However, we have been able to treat a patient with chronic proliferative subdeltoid bursitis through alcohol instillation. The patient complained of aggravating right shoulder area pain particularly on abduction or flexion of his arm. Ultrasonographic examination revealed that there was notable synovial thickening, fluid collection and proliferative pannus in the subdeltoid bursa. Steroid was injected for treatment but after 9 days, synovial proliferation and synovial fluid collection remained unchanged. After additional 7 days, 70% isopropyl alcohol 5 ml was injected into the subdeltoid bursa via ultrasonograph-guided injection, followed by normal saline 10 ml injection to dilute the previously injected alcohol in order to re-aspirate. On the following check-up 3 weeks after, decrease in synovial proliferation along with normal ultrasonographic results other than slightly thickened bursa wall was noted. (J Korean Acad Rehab Med 2010; 34: 106-109)
  • 1,831 View
  • 26 Download

Original Articles

Accuracy of Ultrasound Guided Hip Trochanteric Bursa Injection.
Kim, Chul , Bang, Inkeol , Ahn, Jaeki , Park, Yongbum
J Korean Acad Rehabil Med 2009;33(5):591-594.
Objective
To evaluate the accuracy of ultrasound guided hip trochanteric bursa (subgluteus maximus bursa) injection by using pelvis computed tomography (CT) scan with contrast dye. Method: Nine patients (37∼79 years old) with greater trochanteric pain syndrome (GTPS) were recruited for the study. In lateral decubitus position with pain side up, ultrasound guided injection was done into trochanteric bursa located between gluteus maximus and medius tendons with a mixture of 10 ml 0.5% lidocaine and 10 ml contrast dye (Omnipaque) in all study subjects. Accuracy of injection was assessed by pelvis CT scan within 1 hour after bursa injection. Results: As results of pelvis CT scan, all subjects' contrast dyes were accurately injected within trochanteric bursa space from trochanter to proximal gluteus. Conclusion: We confirmed that ultrasound guided trochanteric bursa injection was accurate and easy to perform. (J Korean Acad Rehab Med 2009; 33: 591-594)
  • 2,085 View
  • 24 Download
Ultrasonography of Morton's Neuroma Accompanied with Interdigital Bursitis.
Lee, So Young , Jung, Yoon Tae , Lee, Sung Moon
J Korean Acad Rehabil Med 2009;33(4):386-391.
Objective
To investigate clinical and ultrasonographic findings of Morton's neuroma with or without interdigital bursitis. Method: Eighty patients who were diagnosed as Morton's neuroma were included. The diagnostic criterion of Morton's neuroma at ultrasonography was hypoechoic mass was 5 mm in sagittal view. When the hypoechoic mass was molded by compression of the probe, Morton's neuroma accompanied with interdigital bursitis was diagnosed. The mean difference of symptom duration from onset to the hospital visit and the size of Morton's neuroma was evaluated. Results: In eigthy patients, total 117 feet, 210 Morton's neuromas were detected. Of the 117 feet, 66% revealed more than one Morton's neuroma per one foot. Mostly Morton's neuroma was at the second (46.7%) and the third interdigital space (43.8%). Mean duration was 19.1±16.9 months. Comorbidity of interdigital bursitis was 23.3% of all Morton's neuroma. Mean size of Morton's neuroma with interdigital bursitis was significantly larger (10.3±3.0 mm) than single neuroma (8.5±2.5 mm). The symptom duration from onset to the hospital visit was significantly shorter in neuroma with interdigital bursitis (14.1±16.8 months) than single Morton's neuroma (21.2±16.6 months). Conclusion: Morton's neuroma had multiple propensity, mostly at the second and the third web space with comparable rate. Comorbidity of interdigital bursitis with Morton's neuroma was 23.3%. When interdigital bursitis was accompanied, the size of hypoechoic mass was larger and symptom duration from onset to the hospital visit was shorter than single Morton's neuroma. (J Korean Acad Rehab Med 2009; 33: 386-391)
  • 1,706 View
  • 27 Download
Case Report
Obturator Externus Bursitis: Cases report.
Lee, Peter K W , Choi, Ha Young , Choi, Sang Hee , Park, Sung Jun , Jung, Kyung Hoon , Park, Kwang Hong
J Korean Acad Rehabil Med 2007;31(4):490-492.
The obturator externus bursa has been described as a potential bursa between the tendon of the obturator externus muscle and the posterior hip capsule. Although pathologic involvement of the iliopsoas bursa by intraarticualr hip disease has been extensively described, obturator externus bursa has not been fully investigated. We describe a patient who presented with hip pain and limited range of motion. Her magnetic resonance imaging of pelvis revealed an enhancing cystic lesion that extends inferomedially displacing obturator externus muscle and mild synovitis of the right hip. She was diagnosed as having obturator externus bursitis, and after symptomatic treatment pain and limited range of motion disappeared. The obturator externus bursa is a potential communication of the hip joint, can be a site of disease spread from the hip joint, and can be identified with magnetic resonance imaging. (J Korean Acad Rehab Med 2007; 31: 490-492)
  • 3,386 View
  • 169 Download
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