Knee

Prepatellar Bursitis

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Prepatellar Bursitis, Prepatellar Bursa, Patellar Bursitis

  • Mechanism
  1. Direct Trauma to anterior Patella without rotation
  • Causes
  1. Chronic Kneeling (e.g. carpet layers, gardeners)
  2. Acute direct Trauma
  • Symptoms
  1. Anterior Knee Pain and swelling
  • Signs
  1. Tenderness over Prepatellar Bursa
    1. Anterior knee overlying Patella
    2. Dome shaped swelling
  • Differential diagnosis
  1. Patella Contusion
  2. Patella Fracture
  3. Intra-articular Knee Injury
  4. Septic knee
  • Management
  1. NSAIDs
  2. Local Ice Therapy
  3. Eliminate pressure overlying Patella
  4. Prepatellar Bursa Injection (refractory cases)
  • References
  1. Greene (2001) Musculoskeletal Care, AAOS, p. 335-6
  2. Cardone (2003) Am Fam Physician 67(10):2147-52 [PubMed]