Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

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

DOI QR Code

Negative-Pressure Wound Therapy for Septic Ankle Arthritis Following Intractable Lateral Malleolar Bursitis: A Case Report

족관절 화농성 관절염이 동반된 난치성 외과 점액낭염의 음압 창상치료: 증례 보고

  • Kim, Jiyoun (Department of Orthopaedic Surgery, Kosin University College of Medicine) ;
  • Jang, Jihoon (Department of Orthopaedic Surgery, Kosin University College of Medicine) ;
  • Chung, So Hak (Department of Orthopaedic Surgery, Kosin University College of Medicine)
  • 김지연 (고신대학교 의과대학 정형외과학교실) ;
  • 장지훈 (고신대학교 의과대학 정형외과학교실) ;
  • 정소학 (고신대학교 의과대학 정형외과학교실)
  • Received : 2021.10.12
  • Accepted : 2021.11.03
  • Published : 2021.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

A bursa is an obstructive sac filled with synovial fluid and usually occurs in any area of the body exposed to friction. The bursa of the ankle is not a normal anatomical structure and is caused by repetitive trauma, constant friction, or inflammatory disease of the ankle. Bursitis can occur in any bursa in the human body; however it rarely progresses to septic arthritis. We report a rare case of septic ankle arthritis following intractable lateral malleolar bursitis successfully treated with negative-pressure wound therapy.

Keywords

References

  1. 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. doi: 10.1177/03635465000280010301.
  2. Larsson LG, Baum J. The syndromes of bursitis. Bull Rheum Dis. 1986;36:1-8.
  3. Boutin FJ BR, Boutin FJ Jr. Bursitis. In: Chapman MW, Madison M, editors. Operative orthopaedics. 2nd ed. Philadelphia: JB Lippincott Co; 1993. p. 3419-32.
  4. Hernandez PA, Hernandez WA, Hernandez A. Clinical aspects of bursae and tendon sheaths of the foot. J Am Podiatr Med Assoc. 1991;81:366-72. doi: 10.7547/87507315-81-7-366.
  5. Woo SH, Kim JS, Son SM, Shin WC. Triamcinolone acetonide injections for lateral malleolar bursitis of the ankle. J Korean Foot Ankle Soc. 2019;23:12-7. doi: 10.14193/jkfas.2019.23.1.12.
  6. Weston V, Coakley G. Guideline for the management of the hot swollen joint in adults with a particular focus on septic arthritis. J Antimicrob Chemother. 2006;58:492-3. doi: 10.1093/jac/dkl295.
  7. Vispo Seara JL, Barthel T, Schmitz H, Eulert J. Arthroscopic treatment of septic joints: prognostic factors. Arch Orthop Trauma Surg. 2002;122:204-11. doi: 10.1007/s00402-001-0386-z.
  8. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563-76; discussion 577. doi: 10.1097/00000637-199706000-00002.
  9. Kim BS, Choi WJ, Baek MK, Kim YS, Lee JW. Limb salvage in severe diabetic foot infection. Foot Ankle Int. 2011;32:31-7. doi: 10.3113/FAI.2011.0031.
  10. Birke-Sorensen H, Malmsjo M, Rome P, Hudson D, Krug E, Berg L, et al. Evidence-based recommendations for negative pressure wound therapy: treatment variables (pressure levels, wound filler and contact layer)--steps towards an international consensus. J Plast Reconstr Aesthet Surg. 2011;64 Suppl:S1-16. doi: 10.1016/j.bjps.2011.06.001.