II. Mechanism

  1. Direct Trauma to anterior Patella without rotation

III. Causes

  1. Chronic Kneeling (e.g. carpet layers, gardeners)
  2. Acute direct Trauma

IV. Symptoms

  1. Anterior Knee Pain and swelling

V. Signs

  1. Tenderness over Prepatellar Bursa
    1. Anterior knee overlying Patella
    2. Dome shaped swelling

VI. Differential Diagnosis

  1. Patella Contusion
  2. Patella Fracture
  3. Intra-articular Knee Injury
  4. Septic knee
  5. Septic Bursitis

VII. Management

  1. NSAIDs
  2. Local Ice Therapy
  3. Eliminate pressure overlying Patella
  4. Prepatellar Bursa Injection (refractory cases)

VIII. References

  1. Greene (2001) Musculoskeletal Care, AAOS, p. 335-6
  2. Cardone (2003) Am Fam Physician 67(10):2147-52 [PubMed]

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