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Endoskopische Resektion der Bursa trochanterica

Endoscopic resection of the bursa trochanterica

Zusammenfassung

Zur offenen Resektion der Bursa trochanterica bei chronischer Bursitis sind mehrere Operationsverfahren beschrieben. Nach den guten Erfahrungen mit der endoskopischen Bursektomie am Schultergelenk kommt alternativ als minimal-invasive Behandlungsmethode eine endoskopische Resektion in Betracht. Ziel der Studie ist es, Möglichkeit und klinische Praktikabilität der neuen Methode zu prüfen und die Ergebnisse der ersten 19 Fälle, die von 6/2000–12/2002 ausschließlich endoskopisch versorgt wurden, vorzustellen. Der durchschnittliche postoperative Beobachtungszeitraum betrug 10 Monate (6–24). In 16 Fällen wurde in den klinischen Scores ein gutes postoperatives Resultat erzielt, in 8 Fällen mit kalzifizierender Bursitis kam es zu einer anhaltenden Remission des Kalkherdes. Es zeigt sich, dass die endoskopische Bursektomie am Hüftgelenk nach einer kurzen Lernphase ein effektives und schonendes Operationsverfahren darstellt und bei vergleichbaren Resultaten zu den offenen Verfahrenstechniken alle Vorteile eines minimal-invasiven Vorgehens beinhaltet.

Abstract

In surgical treatment of chronic trochanteric bursitis many open approaches are described for resection the bursa. After the good experience in endoscopic shoulder surgery with the treatment of bursitis subacromialis, a minimal invasive endoscopic procedure may be an alternative. Purpose of the study is to develop a standard procedure and to present the first experiences with this new method. In our series 19 cases with refractory chronic bursitis were treated exclusively endoscopically. The mean postoperative follow-up was 10 months. In the clinical scores excellent and good clinical results were achieved in 16 cases after endoscopic excision of the bursa trochanterica. In 8 cases with calcification of the bursa a permanent remission of the calcific deposits was observed. In 3 cases a poor result was seen, due to a secondary After a short learning curve, endoscopic bursectomy can be regarded as an effective and comfortable method for treatment of chronic trochanteric bursitis in comparison to the open procedure including all the general advantages of a minimal invasive surgical procedure.

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Schunck, J., Jerosch, J. Endoskopische Resektion der Bursa trochanterica. Arthroskopie 17, 96–99 (2004). https://doi.org/10.1007/s00142-004-0252-4

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  • DOI: https://doi.org/10.1007/s00142-004-0252-4

Schlüsselwörter

  • Bursitis trochanterica
  • Endoskopie
  • Bursektomie

Keywords

  • Bursitis trochanterica
  • Endoscopy
  • Bursectomy