CHAPTER 5 Arthroscopic Resection of the Olecranon Bursa
TREATMENT
Open Excision
The alternative to arthroscopic resection is open resection of the bursa. There have been no comparisons of open and arthroscopic treatment. However, open treatment does involve a relatively large incision, with the attendant risk of wound complications such as poor healing.1 Patients may be left with residual hypersensitivity over the scar. However, it usually is considered a satisfactory alternative treatment in the absence of the necessary arthroscopic skills.
Control of Septic Bursitis
In a patient with septic bursitis, the sepsis should be controlled before carrying out an arthroscopic resection. The study from Stell2 indicated that acute olecranon septic bursitis could be managed on a conservative basis in many cases. The principle is to determine the infective agent. An aspirate of the bursa should be carried out with cultures and sensitivity tests performed.