Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle
- Author:
Yeo Kwon YOON
1
;
Jae Han PARK
;
Jiyoun KIM
;
Seung Hwan HAN
;
Seung Hwan SHIN
;
Jin Woo LEE
;
Kwang Hwan PARK
Author Information
- Publication Type:Original Article
- From:Clinics in Orthopedic Surgery 2022;14(2):289-296
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:The aim of this study was to evaluate clinical outcomes of sodium tetradecyl sulphate (STS) sclerotherapy for conservative treatment of lateral malleolar bursitis of the ankle.
Methods:We reviewed data from 20 consecutive patients (20 ankles) who underwent STS sclerotherapy between August 2018 and June 2019. After aspiration of fluid from the lateral malleolar bursal sac, 2 mL (20 mg) STS was injected into the sac. Clinical outcomes and side effects and complications were evaluated at 2 weeks, 3 months, 1 year, and 2 years after sclerotherapy. Responses to treatment were assessed according to degree of fluctuation, shrinkage of the bursal sac, and soft-tissue swelling. The 36-item short form survey (SF-36) was completed for each patient before and after therapy.
Results:Complete response was observed in 17 patients (85%), and partial response was observed in 3 patients (15%) after STS sclerotherapy. SF-36 physical component scores improved from 62.2 (interquartile range, 5.2) before therapy to 70.0 (interquartile range, 7.9) at last follow-up (p < 0.05). One patient (5%) experienced transient hyperpigmentation at the injection site. No major complications occurred.
Conclusions:STS sclerotherapy was an effective and safe treatment for patients with lateral malleolar bursitis of the ankle.
