Prepatellar bursitis (nonseptic): Difference between revisions
No edit summary |
|||
| (15 intermediate revisions by 7 users not shown) | |||
| Line 1: | Line 1: | ||
==Background== | |||
* | [[File:Gray350.png|thumb|Sagittal section of right knee-joint, showing frontal bursae.]] | ||
*One of the more common sites for septic bursitis (especially in children) | *Generally occurs via repetitive kneeling on hard surfaces | ||
*One of the more common sites for [[septic bursitis]] (especially in children) | |||
==Clinical Features== | |||
*Mild pain | *Mild pain | ||
*Swelling over lower pole of patella that may result in restricted ROM | *Swelling over lower pole of patella that may result in restricted ROM | ||
**May be so severe that must differentiate from a joint effusion | **May be so severe that must differentiate from a joint effusion | ||
=== | ==Differential Diagnosis== | ||
* | {{Knee DDX}} | ||
* | |||
==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.<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== | |||
*Supportive | |||
**[[NSAIDs]] | |||
**Rest | |||
**Warm compresses | |||
*IV [[antibiotics]] if infected bursa ([[Septic bursitis]]) is suspected | |||
==Disposition== | |||
*Outpatient | |||
==See Also== | ==See Also== | ||
*[[Knee (Minor)]] | *[[Knee (Minor)]] | ||
*[[Bursitis]] | |||
== | ==References== | ||
<References/> | |||
[[Category: | [[Category:Orthopedics]] | ||
[[Category:Sports Medicine]] | |||
Latest revision as of 21:49, 21 May 2020
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.