Difference between revisions of "Prepatellar bursitis (nonseptic)"

(Background)
 
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==Background==
 
==Background==
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[[File:Gray350.png|thumb|Sagittal section of right knee-joint, showing frontal bursae.]]
 
*Generally occurs via repetitive kneeling on hard surfaces
 
*Generally occurs via repetitive kneeling on hard surfaces
 
*One of the more common sites for [[septic bursitis]] (especially in children)
 
*One of the more common sites for [[septic bursitis]] (especially in children)

Latest revision as of 21:49, 21 May 2020

Background

Sagittal section of right knee-joint, showing frontal bursae.
  • 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 knee injury

Nontraumatic/Subacute

Evaluation

  • Clinical diagnosis, based on history and physical exam
  • There is currently no consensus on the optimal diagnosis strategy for prepatellar bursitis. The majority of patients studied did receive an aspiration of fluid (82%), but those patients had a significantly higher rate of complications (persistent infection, secondary infection in initially aseptic bursae) than patients treated with antibiotics alone.[1]

Management

Disposition

  • Outpatient

See Also

References

  1. Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.