Non-surgical treatment of aseptic olecranon bursitis: A systematic review

被引:0
作者
Kaur, Ikwinder Preet [1 ]
Mughal, Mohsin Sheraz [2 ]
Aslam, Fawad [3 ]
Schram, Jennifer [4 ]
Bansal, Pankaj [5 ]
机构
[1] Univ Florida, Coll Med, Dept Rheumatol, 653-1 8th St W, Jacksonville, FL 32209 USA
[2] UHS Wilson Med Ctr, Dept Cardiol, Johnson City, NY 13790 USA
[3] Mayo Clin Arizona, Dept Rheumatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA
[4] Mayo Clin Hlth Syst, Mayo Clin Lib Wisconsin, 1400 Bellinger St, Eau Claire, WI 54701 USA
[5] Mayo Clin Hlth Syst, Dept Rheumatol, 1400 Bellinger St, Eau Claire, WI 54701 USA
来源
REUMATOLOGIA CLINICA | 2023年 / 19卷 / 09期
关键词
Olecranon; Bursitis; Inflammation; AINEs; Corticosteroids; INJECTION;
D O I
10.1016/j.reuma.2023.02.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Olecranon bursitis (OB), characterized by inflammation and fluid collection in the olecranon bursa is a commonly encountered out-patient condition. The data is heterogeneous regarding a stepwise and standardized approach to aseptic OB treatment and the efficacy of intra-bursal corticosteroid injections (CSI). The objective of this review is to systematically evaluate the non-surgical treatment options for aseptic OB.Methods: This systematic review was conducted in accordance with PRISMA recommendations. The English and non-English literature search was performed in 5 medical databases to identify studies evaluating the treatment of OB. All included studies were evaluated for risk of bias (RoB) using the revised Cochrane RoB tool for randomized control trials (RCTs) and the Newcastle-Ottawa Scale (NOS) for case-control and cohort studies.Results: For the final analyses, 2 RCTs and 2 observational studies were included. The RoB for the RCTs was high and both failed to demonstrate a significant difference in terms of the resolution of OB and bursal tenderness among various invasive and non-invasive treatment options. Corticosteroid injection (CSI) was associated with a significant decline in the duration of symptoms. However, it was associated with a higher number of complications including bursal infection and skin atrophy.Conclusion: Based on the available data, it appears that the clinical resolution of aseptic OB can occur with conservative methods if implemented earlier in the disease course. Although CSI is more effective than other treatments, it should be reserved for refractory cases because of a higher complication rate.(c) 2023 Published by Elsevier Espan similar to a, S.L.U.
引用
收藏
页码:482 / 487
页数:6
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