Bicipitoradial Bursitis: A Review of Clinical Presentation and Treatment

The bicipitoradial bursa lies at the insertion of the biceps tendon on the radial tuberosity. It is an unusual site for chronic bursitis and most often results from repetitive mechanical trauma or overuse. Other causes include tuberculosis, immunological complications of rheumatological disease and synovial chondromatosis. Accurate diagnosis requires imaging studies and sometimes histological study. It can be treated conservatively with aspiration and steroid injection. Surgical excision of the bursa is indicated in the case of infection cause, failed conservative treatment with recurrence of the enlarged bursa and pain after aspiration, presence of nerve compression with neurological impairment, mechanical limitation to flexion, and extension of the elbow or biceps tendon degeneration and/or functional impairment.

中 文 摘 要肱二頭肌橈骨滑囊是位於肱二頭肌遠端肌腱與橈骨結節之間。慢性滑囊炎在肱二頭肌橈骨滑囊並不常見，主要的成因是重覆性的機械性創傷或過度使用。其他原因包括結核病，風濕性疾病的自體免疫並發症和滑膜軟骨瘤病。準確的診斷需要影像掃描檢查，有時並需要組織學研究。滑囊抽吸與類固醇注射等保守性療法可以治療肱二頭肌橈骨滑囊炎。滑囊切除手術在以下的情況適用：保守治療無效，在滑囊抽吸與類固醇注射後滑囊再次腫大並引起疼痛丶感染性的滑囊炎丶神經被滑囊壓迫做成神經功能缺損丶肘關節的屈伸受到滑囊限制丶肱二頭肌腱退變或其他的功能障礙。