Endoscopic Resection of Inflamed Elbow Bicipitoradial Bursa and Distal Biceps Tendon Synovectomy

Elbow bicipitoradial bursitis can be a result of chronic overuse, chronic infection, chronic inflammation, and tumor-like conditions. Bicipitoradial bursitis is treated conservatively with rest, anti-inflammatories, and physical therapy. Sonography-guided fluid aspiration is indicated if symptoms persist, and local steroid injections are indicated for noninfective pathology. Surgical debridement is indicated in cases refractory to conservative treatment. The purpose of this technical note is to describe the details of endoscopic resection of the inflamed bicipitoradial bursa and distal biceps tendon synovectomy. In the case of posterior interosseous nerve compression by the inflamed bicipitoradial bursa, the same endoscopic approach can be used for bursectomy and radial tunnel release.