Summary
Two year clinical followup of patients who underwent arthroscopic bursectomy for recalcitrant greater trochanteric bursitis. .
Data
Background
The arthroscopic treatment of bursitis in the peritrochanteric space is a relatively new surgical technique with few published reports of outcomes following surgical treatment. The purpose of this study is to present the surgical outcomes 2 years after arthroscopic bursectomy for recalcitrant greater trochanteric bursitis.
Materials and Methods
The study is designed as a retrospective review of 38 patients who had previously undergone arthroscopic bursectomy with greater than 24 months of follow up (range, 24 – 83 months), after having failed a series of three injections, physical therapy and activity modification. Patients' preoperative VAS and postoperative VAS scores were obtained for comparison. In addition, patients also filled out a hip outcome score (HOS) for evaluation of ADLs and sports activities.
Results
A statistical improvement was noted on VAS scores (8.4 to 2.6), and these were sustained for greater than two years. In addition, the HOS ADL subscale average score of greater than 70% demonstrated good overall functional outcomes. However, 21% of the patients required a secondary surgical procedure for either intraarticular pathology, refractory bursitis or an abductor muscle tear.
Conclusion
Arthroscopic bursectomy can predictably improve pain scores in patients with recalcitrant bursitis. The treatment of any other existing hip pathology should also be considered at the time of surgery in order to improve outcomes.
Article info
Identification
Copyright
© 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
