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Abstract
A study of the large subcutaneous haematoma or bursa was carried out in 85 adult patients
who were mostly injured in traffic accidents as pedestrians hit by automobiles or
in motorcycle accidents. The lesions, mostly located at trochanteric and lumbosacral
regions, were produced by direct, tangential traumatic forces splitting the subcutaneous
fat from the fascia and creating a massive haematoma which was subsequently transformed
into a real bursal cyst, resistant to the conventional methods of treatment. As the
results of conservative measures were unsatisfactory in 74 per cent of cases, a simple
operation has been developed, consisting of excision of the bursal wall and inserting
cutaneofascial sutures to allow complete elimination of any dead spaces where tissue
fluids could re-accumulate. As the results of this operation were favourable in 95
per cent of cases, it is recommended for the management of this condition.
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References
- Trochanteric bursitis. Bone scan appearance.Clin. Nucl. Med. 1988; 13: 561
- Septic subcutaneous bursitis. Report of sixteen cases.J. Rheum. 1979; 6: 96
- Diagnosis and management of bursitis.Compr. Ther. 1984; 10: 14
- Traumatic trochanteric bursitis.Kans. Med. 1989; 90: 17
- Bacterial infection of the superficial subcutaneous bursae.Clin. Rheum. Dis. 1986; 12: 437
- Cubital bursitis.J. Bone Joint Surg. 1988; 70B: 832
- Organizing hematoma of the thigh. Multiple imaging techniques.Clin. Nucl. Med. 1987; 12: 661
- Detecting haematomas by ultrasound. Brief report.J. Bone Joint Surg. 1988; 70B: 150
- Olecranon and prepatellar bursitis. Diagnosis and treatment.West J. Med. 1988; 149: 607
- Apport de l'imagerie médicale au diagnostic et au traitement de la bursite trochantérienne.Rev. Rhum. 1988; 55: 789
Article info
Publication history
Accepted:
November 4,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
