Prepatellar bursitis (nonseptic): Difference between revisions
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==Background== | ==Background== | ||
*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) | ||
==Clinical Features== | ==Clinical Features== | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis, based on history and physical exam | *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.<ref>Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.</ref> | |||
==Management== | ==Management== | ||
*Supportive | *Supportive | ||
**NSAIDs | **[[NSAIDs]] | ||
**Rest | **Rest | ||
**Warm compresses | **Warm compresses | ||
*IV antibiotics if infected bursa ([[Septic bursitis]]) is suspected | *IV [[antibiotics]] if infected bursa ([[Septic bursitis]]) is suspected | ||
==Disposition== | |||
*Outpatient | |||
==See Also== | ==See Also== | ||
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[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Sports Medicine]] | |||
Revision as of 17:01, 18 October 2019
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 knee injury
- Knee dislocation
- Knee fractures
- Meniscus and ligament knee injuries
- Patella dislocation
- Patellar tendonitis
- Patellar tendon rupture
- Quadriceps tendon rupture
Nontraumatic/Subacute
- Arthritis
- Gout and Pseudogout
- Osgood-Schlatter disease
- Patellofemoral syndrome (Runner's Knee)
- Patellar tendonitis (Jumper's knee)
- Pes anserine bursitis
- Popliteal cyst (Bakers cyst)
- Prepatellar bursitis (nonseptic)
- Septic bursitis
- Septic joint
- DVT
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
- Supportive
- NSAIDs
- Rest
- Warm compresses
- IV antibiotics if infected bursa (Septic bursitis) is suspected
Disposition
- Outpatient
See Also
References
- ↑ Baumbach SF et al. Prepatellar and Olecranon bursitis: literature review and development ofa treatment algorithm. Arch Orthop Trauma Surg. (2014) 134: 359 - 370.