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Clinical Cases in mineral and bone metabolism

Bicipitoradial bursitis a case report

Case report, 169 - 172
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The bursae found in the cubital fossa consists of the interosseous bursa and the bicipitoradial bursa. An antecubital cyst resulting from an acute or chronic tear of the anterior capsule at the sacciform recess may communicate with the bicipital radial bursa and become the cause of recurrent and recalcitrant symptoms. A 65 years old woman (B.AM.) came to our Orthopaedics Urgency Room. She was sent to our attention by her family doctor. Clinically, an elastic mass with no apparent adhesion with the superficial tissue layers was observed; it seemed to arise from the joint or from the periarticular tissues. Patient was submitted to surgery removal of the cubital mass. We performed an anterolateral approach to the elbow and proximal forearm. We saved and protected the cutaneous lateralis ante-brachii and the radialis nerves. Then a soft and careful dissection of the mass was performed. The response of histological exam settled the diagnosis of bicipito-brachialis bursitis. Bicipito-brachialis bursitis is a rather uncommon pathologic condition, but can initially be confused with sarcomas of the soft tissues of the elbow such as sarcoma synovialis.

Vol. XVI (No. 2) 2019 May - August

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