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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Sun-Ho Lee (Department of Orthopedic Surgery Chonnam National University Hwasun Hospital Chonnam National University Medical School Hwasun Korea) Won-Young Jang (Department of Orthopedic Surgery Chonnam National University Hwasun Hospital Chonnam National University Medical School Hwasun Korea) Min-Su Lee (Department of Orthopedic Surgery Chonnam National University Hwasun Hospital Chonnam National University Medical School Hwasun Korea) Taek-Rim Yoon (Chonnam National University Hwasun Hospital Hwasun Korea) Kyung-Soon Park (Chonnam National University Hwasun Hospital Hwasun Korea)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis 제35권 제1호
발행연도
2023.3
수록면
24 - 31 (8page)

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초록· 키워드

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Purpose: A response to conservative treatment is usually obtained in cases of ischiogluteal bursitis. However, the time required to achieve relief of symptoms can vary from days to weeks, and there is a high recurrence rate, thus invasive treatment in addition to conservative treatment can occasionally be effective. Therefore, the aim of this study was to examine surgical excision in cases of refractory ischiogluteal bursitis and to evaluate patients’ progression and outcome. Materials and Methods: A review of 21 patients who underwent surgical excision for treatment of ischiogluteal bursitis between February 2009 and July 2020 was conducted. Of these patients, seven patients were male, and 14 patients were female. Injection of steroid and local anesthetic into the ischial bursa was administered at outpa tient clinics in all patients, who and they were refractory to conservative treatment, including aspiration and pre scription drugs. Therefore, surgery was considered necessary. Excisions were performed by two orthopedic spe cialists using a direct vertical incision on the ischial area. A review of each patient was performed after excision, and quantification of the outcomes recorded using clinical scoring systems was performed. Results: The results of radiologic evaluation showed that the mean lesion size was 6.2 cm×4.5 cm×3.6 cm. The average disease course after excision was 21.6 days (range, 15-48 days). Measurement of clinical scores, including the visual analog scale and Harris hip scores, was performed during periodic visits, with scores of 0.7(range, 0-2) and 98.1 (range, 96-100) at one postoperative month, respectively. Conclusion: Surgical excision, with an expectation of favorable results, could be considered for treatment of ischiogluteal bursitis that is refractory to therapeutic injections, aspirations, and medical prescriptions, particular ly in moderate-to-severe cases.
#Ischiogluteal bursitis #Surgical excision

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