See Also
Indications
1. Prepatellar Bursitis
Preparation
1. Needle
  1. Gauge: 25-27 (injection), 18-20 (aspiration)
  2. Length: 1 to 1.5 inches
2. Syringe: 5 ml (injection) or 20-30 ml (aspiration)
3. Corticosteroid options
  1. Betamethasone (Celestone) 1 ml of 6 mg/ml
  2. Methylprednisolone (Depo-Medrol): 1 ml of 40 mg/ml
4. Anesthetic
  1. Lidocaine 1%: 2 ml or
  2. Bupivacaine 0.25% or 0.5%: 2 ml
Technique
1. Patient position
  1. Patient supine with knee in slight flexion
  2. Prop up knee on towel roll in popliteal space
2. Sterilize local skin with Betadine or Hibiclens
3. Mark needle insertion site based on approach
  1. Palpate swelling over the Patella
    1. Bursa is anterior and inferior to Patella
  2. Mark point of maximal tenderness
4. Insert needle into bursa and aspirate
  1. Inject Corticosteroid preparation
References
1. Pfenninger (1994) Procedures, p. 1036-54
2. Cardone (2003) Am Fam Physician 67(10):2147-52
3. Zuber (2002) Am Fam Physician 66(8):1497-1500

Family Practice Notebook

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This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 5/14/2013.

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