Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지
DOI QR코드

DOI QR Code

Surgery for Synovial Fistula after Excision of the Lateral Malleolar Bursitis of the Ankle: A Case Report

족관절 외과의 점액낭염 절제술 후 발생한 활액막 누공의 수술적 치료: 증례 보고

  • Jang, Hyo-Seok (Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Choi, Hong-Joon (Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine)
  • 장효석 (인제대학교 의과대학 해운대백병원 정형외과학교실) ;
  • 최홍준 (인제대학교 의과대학 해운대백병원 정형외과학교실)
  • Received : 2015.04.27
  • Accepted : 2015.07.24
  • Published : 2015.09.15
Download PDF
⟨ Previous Next ⟩

Abstract

Lateral malleolar bursitis of the ankle is a commonly encountered disease in the department of orthopedic surgery. Although most cases of lateral malleolar bursitis are managed by conservative treatments, operative treatment is considered in cases of infected bursitis or complication after surgery. There are several potential complications associated with operative treatment, including wound healing problem, skin necrosis, nerve injury, or recurrence. However, synovial fistula of the ankle as a complication after surgery for lateral malleolar bursitis has not been previously reported. The author experienced the complication of synovial fistula after surgery for lateral malleolar bursitis and obtained a satisfactory result in revision surgery for the complication, which was coverage of the fistular formation with a periosteal flap from the distal fibula.

Keywords

References

  1. Degreef I, De Smet L. Complications following resection of the olecranon bursa. Acta Orthop Belg. 2006;72:400-3.
  2. Brown TD, Varney TE, Micheli LJ. Malleolar bursitis in figure skaters. Indications for operative and nonoperative treatment. Am J Sports Med. 2000;28:109-11. https://doi.org/10.1177/03635465000280010301
  3. Park KH, Lee J, Choi WJ, Lee JW. OK-432 sclerotherapy for malleolar bursitis of the ankle. Foot Ankle Int. 2013;34:1389-94. https://doi.org/10.1177/1071100713488091
  4. Avci S, Sayli U. Lateral premalleolar bursitis as a result of sitting on the foot. Foot Ankle Int. 2001;22:64-6. https://doi.org/10.1177/107110070102200112
  5. Choi JH, Lee KT, Lee YK, Kim DH, Kim JR, Chung WC, et al. Endoscopic versus open bursectomy of lateral malleolar bursitis. Knee Surg Sports Traumatol Arthrosc. 2012;20:1205-8. https://doi.org/10.1007/s00167-011-1581-2
  6. Hashimoto I, Yoshinaga R, Toda M, Nakanishi H. Intractable malleolar bursitis treated with lateral calcaneal artery adipofascial flap. Br J Plast Surg. 2003;56:701-3. https://doi.org/10.1016/S0007-1226(03)00363-1
  7. Mendez-Fernandez MA. Treatment of chronic recurrent synovial fistulae with myofascial flaps. Br J Plast Surg. 1993;46:303-6. https://doi.org/10.1016/0007-1226(93)90008-Y
  8. Proffer DS, Drez D Jr, Daus GP. Synovial fistula of the knee: a complication of arthroscopy. Arthroscopy. 1991;7:98-100. https://doi.org/10.1016/0749-8063(91)90086-D
  9. Coulier B, Devyver B, Hamels J. Imaging demonstration of fistulous gas communication between joint and ganglion of medial malleolus. Skeletal Radiol. 2002;31:57-60. https://doi.org/10.1007/s002560100394
  10. Ji JH, Kim WY, Lee YS, Park SE, Ra KH, Kwon OS. Secondary septic arthritis due to lateral malleolar bursitis: a case report. J Korean Foot Ankle Soc. 2006;10:274-8.

Cited by

  1. Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report vol.36, pp.4, 2015, https://doi.org/10.14406/acu.2019.031