Abstract

To the Editor: Swelling of the prepatellar bursa following trauma usually resolves with rest and protection. Aspiration is indicated to rule out infection and may need to be repeated, even when the fluid is not infected, when recurrent swelling is painful or restricts motion1. Injection of corticosteroids can be curative. Symptomatic bursitis that persists despite these measures is considered an indication for surgical removal of the bursa2. Methods to ablate the bursa by injections of other materials were described 25 or more years ago3,4, but have not been adopted into current practice. I successfully treated 2 patients with intrabursal injection of the sclerosing agent sodium morruhate, a method described more than 70 years ago3. I propose that this simple technique is worthy of wider application in treatment of persistent sterile prepatellar bursitis for which other conservative measures have failed and surgery … Address correspondence to Dr. R.W. Ike, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0358. E-mail: rike{at}umich.edu

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