Treatment of Synovial Proliferative Subdeltoid Bursitis through Alcohol Installation: A case report.

, Shin, Jung Bin; , Joo, Seung Ho; , Kim, Hyoung Seop; , Cho, Hyung Keun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(1):106-109.

Shin, Jung Bin , Joo, Seung Ho , Kim, Hyoung Seop , Cho, Hyung Keun

¹Department of Physical Medicine and Rehabilitation, National Health Insurance Corporation Ilsan Hospital, Korea. rekhs@medimail.co.kr
²Department of Diagnostic Radiology, National Health Insurance Corporation Ilsan Hospital, Korea.

알코올 주입술로 치료된 활액막 증식성 삼각근하 활액낭염−증례 보고−

신정빈, 주승호¹, 김형섭, 조형근

국민건강보험공단 일산병원 재활의학과, ¹영상의학과

Abstract

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)

Key Words: Bursitis, Alcohol, Ultrasound