Skip to main content
Log in

Early results of endoscopic trochanter bursectomy

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Between 1995 and 2000, we performed 45 endoscopic bursectomies in 42 patients (average age 51, range 17–61 years). All patients had at least 6 months of failed conservative treatment, and all responded positively to a sonographic-guided injection with Mepivacaine 0.5%. The bursa was removed using a synovial resector. An additional tractopexie was performed in four cases. We followed 37 patients for 12–48 months. Pre-operatively, the mean modified Japanese Orthopaedic Association (JOA) disability hip score was 40.5 points. It improved to 72.6 points after a mean of 25 months. Severe complications did not occur. The minimally invasive technique requires only stab incisions, and immobilisation and hospitalisation are minimal.

Résumé

Entre 1995 et 2000 nous avons exécuté 45 bursectomies endoscopiques chez 42 malades âgés en moyenne de 51 ans (17–61). Tous les malades avaient eu au moins six mois de traitement conservateur sans effet et tous ont répondu positivement à une injection de Mepivacaine 0,5% sous guidage sonographique. La bourse a été excisé en utilisant un résecteur synovial. Un tractopexie supplémentaire a été exécuté dans quatre cas. Nous avons suivi 37 malades pendant 12 à 48 mois. Le score (JOA) d’invalidité de la hanche modifié était, en préopératoire de 40,5 points en moyenne. Il a été amélioré à 72,6 points après 25 mois. Il n’y a pas eu de complication grave. La technique mini-invasive n’exige que des incisions ponctuelles avec une immobilisation et une hospitalisation sont minimales.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Anderson TP (1958) Trochanteric bursitis—diagnostic criteria and clinical significance. Arch Phys Med Rehabil 39:617–622

    CAS  Google Scholar 

  2. Bradley DM, Dillingham MF (1998) Bursoscopy of the Trochanteric Bursa. Arthroscopy 14:884–887

    Google Scholar 

  3. Brooker AF (1979) The surgical approach to refractory trochanteric bursitis. John Hopkins Med J 25:86–89

    Google Scholar 

  4. Brückel R (1992) Angeborene und Erworbene Deformitäten im Bereich des Hüftgelenkes. In: Jäger M, Wirth CL (eds) Praxis der Orthopädie, 2nd edn. Thieme, Stuttgart, pp 854–926

  5. Clancy WG (1980) Runners’ injuries part two. Evaluation and treatment of specific injuries. Am J Sports Med 8:287–289

    CAS  PubMed  Google Scholar 

  6. Colle G, Dijkmans BA, Vandenbroucke JP, Cats A (1991) Greater Trochanteric pain syndrom (trochhanteric bursitis) in low back pain. Scand J Rheumatol 20:262–266

    PubMed  Google Scholar 

  7. Féry A, Sommelet J (1988) The outcome of operation for the “snapping hip”. Int Orthop 12:277–282

    PubMed  Google Scholar 

  8. Fox JL (2002) The role of arthroscopic bursectomy in the treatment of trochanteric bursitis. Arthroscopy 18:E34

    Article  PubMed  Google Scholar 

  9. Govaert LHM, Vis van der HM, Marti RK, Albers GHR (2003) Trochanteric reduction osteotomy as a treatment for refractory trochanteric bursitis. J Bone Joint Surg Br 85:199–203

    Article  CAS  PubMed  Google Scholar 

  10. Haaker R, Krämer J (1997) Endoskopische Bursektomie am Trochanter major. Arthroskopie 10:323–326

    Google Scholar 

  11. Haaker R, Willburger R, Wiese M (2000) Endoscopic bursectomy and fixation of the iliotibial tract at the greater trochanter. Orthop Traumatol 8:225–232

    Google Scholar 

  12. Ito T, Nakayama Y, Tanaka H, Ishida K, Masuda K (1990) Distraction arthroplasty of the hip by bicentric femoral head prosthesis. Clin Orthop 255:186–193

    PubMed  Google Scholar 

  13. Klein W (1996) Endoscopy of the deep infrapatellar bursa. Arthroscopy 12:127–131

    CAS  PubMed  Google Scholar 

  14. Pässler HH (1996) Bursaendoscopie. Arthroskopie 9:22–26

    Google Scholar 

  15. Sampson TG, Glick JM (1996) Indication and surgical treatment of hip pathology. In: McGinty JB (ed) Operative arthroscopy, 2nd edn. Lippincott-Raven, Philadelphia, p 1078

  16. Shbeeb MI, Matterson EL (1996) Trochanteric buritis (greater trochanter pain syndrom). Mayo Clin Proc 71:565–569

    CAS  PubMed  Google Scholar 

  17. Shbeeb MI, Duffy JD, Michet CJ Jr, O’Fallon, Matterson EL (1996) Evaluation of glucocorticoid injection for the treatment of trochanteric bursitis. J Rheumatol 23:2104–2106

    CAS  PubMed  Google Scholar 

  18. Slawski DP, Howard RF (1997) Surgical management of refractory trochanteric bursitis. Am J Sports Med 25:86–89

    CAS  PubMed  Google Scholar 

  19. Zoltan DJ, Clancy WG, Keen JS (1986) A new operative approach to snapping hip and refractory trochanteric bursitis in athletes. Am J Sports Med 14:201–204

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthias Wiese.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wiese, M., Rubenthaler, F., Willburger, R.E. et al. Early results of endoscopic trochanter bursectomy. International Orthopaedics (SICOT) 28, 218–221 (2004). https://doi.org/10.1007/s00264-004-0569-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-004-0569-7

Keywords

Navigation