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Olecranon Extrabursal Endoscopic Bursectomy

Tu, Chen G. MBBS*; McGuire, Duncan T. MBCHB, FCS Ortho, MMed*; Morse, Levi P. BPhty, BMBS (Hons)*; Bain, Gregory I. MBBS, FRACS, FA (Orth), PhD*,†

Techniques in Hand & Upper Extremity Surgery: September 2013 - Volume 17 - Issue 3 - p 173–175
doi: 10.1097/BTH.0b013e31829c0535
Techniques

Olecranon bursitis is a common clinical problem. It is often managed conservatively because of the high rates of wound complications with the conventional open surgical technique. Conventional olecranon bursoscopy utilizes an arthroscope and an arthroscopic shaver, removing the bursa from inside-out. We describe an extrabursal endoscopic technique where the bursa is not entered but excised in its entirety under endoscopic vision. A satisfactory view is obtained with less morbidity than the open method, while still avoiding a wound over the sensitive point of the olecranon.

*Modbury Hospital

Royal Adelaide Hospital, Modbury, SA

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Gregory I. Bain, MBBS, FRACS, FA (Orth), PhD, Modbury Hospital, Royal Adelaide Hospital, 41-69 Smart Road, Modbury, SA 5092. E-mail: greg@gregbain.com.au.

© 2013 by Lippincott Williams & Wilkins