Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle

Yeo Kwon Yoon, Jae Han Park, Jiyoun Kim, Seung Hwan Han, Seung Hwan Shin, Jin Woo Lee, Kwang Hwan Park

Research output: Contribution to journalArticlepeer-review


Background: The aim of this study was to evaluate clinical outcomes of sodium tetradecyl sulphate (STS) sclerotherapy for con-servative 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. Re-sponses 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.

Original languageEnglish
Pages (from-to)289-296
Number of pages8
JournalCiOS Clinics in Orthopedic Surgery
Issue number2
Publication statusPublished - 2022 Jun

Bibliographical note

Publisher Copyright:
© 2022, Korean Orthopaedic Association. All rights reserved.

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine


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