Endoscopic Extrabursal Excision of Olecranon Spur

Olecranon spur is a common underlying clinical problem in patients with inflammatory conditions such as triceps tendonitis, olecranon bursitis, and gout. It is often managed conservatively. Conventionally, symptomatic olecranon spurs that have failed conservative management are excised along with the overlying bursa using an open technique. We describe an endoscopic extrabursal technique, where the spur is dissected out and excised in its entirety under endoscopic vision. Using this technique, a satisfactory view is achieved with less morbidity compared with the open excision; it also avoids a wound over the sensitive skin over the olecranon.