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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]
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.
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]
Research shows men are more likely than women to avoid—or delay—necessary medical care, even when their symptoms disrupt their lives or become chronic. An online survey conducted by the ...
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.
If there is a painful, reddish, and warm swelling in front of the patella, acute prepatellar bursitis should be considered which may require aspiration or drainage. Those presented with these features usually had history of frequent kneeling and direct trauma over the knee. [1]
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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