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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.
[1] [6] Diagnosis is generally based on symptom and physical examination. [1] When the deep bursa is involved, bending the knee generally increases the pain. [2] Other conditions that may appear similar include patellar tendonitis and prepatellar bursitis. [5] Treatment is generally by rest, alternating between ice and heat, and NSAIDs. [1]
This may occur as a result of trauma or surgery to the knee. [1] Diagnosis may be supported by magnetic resonance imaging (MRI). [2] Treatment is generally by steroid injections and physical therapy. [2] [1] If this is not effective surgery removal may be tried. [2] While overall it is an uncommon condition, [3] it is relatively common in ...
Knee effusion, informally known as water on the knee, occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis , injury to the ligaments or meniscus , or fluid collecting in the bursa , a condition known as prepatellar bursitis .
The Active Instability Test, knee pain during stair climbing, Clarke's test, pain with prolonged sitting, patellar inferior pole tilt, and pain during squatting have demonstrated the best accuracy. [20] However, careful consideration is still needed when using these tests to make a differential diagnosis of PFPS. [20]
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 the anterior movement of the affected knee is greater than the unaffected knee, then the anterior drawer test is positive. The Lachman test is more sensitive than the anterior drawer test. For the Lachman test, the person lies down in supine position with the knee flexed at 20 degrees and the heel touching the bed. The tibia is then pulled ...
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