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A diagnosis of prepatellar bursitis can be made based on a physical examination and the presence of risk factors in the person's medical history; swelling and tenderness at the front of the knee, combined with a profession that requires frequent kneeling, suggest prepatellar bursitis. [2]
The diagnosis of patellofemoral pain syndrome is made by ruling out patellar tendinitis, prepatellar bursitis, plica syndrome, Sinding-Larsen and Johansson syndrome, and Osgood–Schlatter disease. [23] Currently, there is not a gold standard assessment to diagnose PFPS. [20]
Prepatellar bursitis, also known as housemaid's knee, is a common cause of swelling and pain above the patella (kneecap), and is due to inflammation of the prepatellar bursa. It is common in people who frequently kneel , such as roofers, plumbers, carpet layers, and gardeners.
Prepatellar bursitis (kneecap bursitis) Cysts; Tumours; Repetitive strain injury; Having osteoarthritis or engaging in high-risk sports that involve rapid cut-and-run movements of the knee — football or tennis, for example — means an individual is more likely to develop water on the knee.
Diagnosis is generally based on symptoms and examination. [2] Other conditions that can appear similar include infrapatellar bursitis, chondromalacia patella and patellofemoral syndrome. [1] [2] Treatment often involves resting the knee and physical therapy. [2] Evidence for treatments, including rest, however is poor.
Gait assessment can be used to differentiate genuine knee pain or pain which referred from hip, lower back or the foot. A person can be asked to perform a duckwalk. This requires the person to squat and walk in that position. In order to perform a duckwalk, the person has to be free of ligamentous tear, knee effusions, and meniscal tears.
726.33 Olecranon bursitis; 726.4 Enthesopathy of wrist and carpus; 726.5 Enthesopathy of hip region; 726.6 Enthesopathy of knee. 726.61 Pes anserinus tendinitis; 726.64 Tendinitis, patellar; 726.65 Prepatellar bursitis; 726.7 Metatarsalgia, NOS (Not Otherwise Specified) 726.71 Tendinitis, achilles; 726.72 Tendinitis, tibialis; 726.73 Calcaneal spur
Knee MRIs should be avoided for knee pain without symptoms or effusion, unless there are non-successful results from a functional rehabilitation program. [ 25 ] In some diagnosis, such as in knee osteoarthritis, magnetic resonance imaging does not prove to be clear for its determination.
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