Prepatellar bursitis (nonseptic)

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Background

  • Generally occurs via repetitive kneeling on hard surfaces
  • One of the more common sites for septic bursitis (especially in children)

Clinical Features

  • Mild pain
  • Swelling over lower pole of patella that may result in restricted ROM
    • May be so severe that must differentiate from a joint effusion

Differential Diagnosis

Knee diagnoses

Acute Injury

Nontraumatic/Subacute

Evaluation

  • Clinical diagnosis, based on history and physical exam

Management

  • Supportive
    • NSAIDs
    • Rest
    • Warm compresses
  • IV antibiotics if infected bursa (Septic bursitis) is suspected

See Also

References