Pang Florence Ou Suet, Cheung Ka Kin, Lui Tun Hing
Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Sha Tin, Hong Kong.
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong.
Arthrosc Tech. 2025 Mar 6;14(6):103501. doi: 10.1016/j.eats.2025.103501. eCollection 2025 Jun.
Elbow bicipitoradial bursitis can be a result of chronic overuse, chronic infection, chronic inflammation, and tumor-like conditions. Bicipitoradial bursitis is treated conservatively with rest, anti-inflammatories, and physical therapy. Sonography-guided fluid aspiration is indicated if symptoms persist, and local steroid injections are indicated for noninfective pathology. Surgical debridement is indicated in cases refractory to conservative treatment. The purpose of this technical note is to describe the details of endoscopic resection of the inflamed bicipitoradial bursa and distal biceps tendon synovectomy. In the case of posterior interosseous nerve compression by the inflamed bicipitoradial bursa, the same endoscopic approach can be used for bursectomy and radial tunnel release.
肱桡滑囊炎可能是慢性过度使用、慢性感染、慢性炎症和肿瘤样病变的结果。肱桡滑囊炎采用休息、抗炎药和物理治疗等保守方法治疗。如果症状持续，需进行超声引导下的液体抽吸，对于非感染性病变则需进行局部类固醇注射。保守治疗无效的病例需进行手术清创。本技术说明的目的是描述内镜下切除发炎的肱桡滑囊和肱二头肌远端肌腱滑膜切除术的细节。在发炎的肱桡滑囊压迫骨间后神经的情况下，可采用相同的内镜方法进行滑囊切除术和桡管松解术。
