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The prepatellar bursa and the olecranon bursa are the two bursae that are most likely to become infected, or septic. [10] Septic bursitis typically occurs when the trauma to the knee causes an abrasion , though it is also possible for the infection to be caused by bacteria traveling through the blood from a pre-existing infection site. [ 11 ]
A distension of this bursa is therefore generally an indication of knee effusion. [3] the prepatellar bursa between the patella and the skin [2] It allows movement of the skin over the underlying patella. the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament. [2]
The [deep] infrapatellar bursa is located under the patella, between the patellar ligament and the fibrous membrane of the joint capsule. It is communicating with the joint space in particular cases. Other less regularly present bursae include the subfascial prepatellar, the subtendinous prepatellar, and the subcutaneous prepatellar bursae.
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.
A subcutaneous bursa is located between the skin and an underlying bone. It allows skin to move smoothly over the bone. Examples include the prepatellar bursa located over the kneecap and the olecranon bursa at the tip of the elbow. A submuscular bursa is found between a muscle and an underlying bone, or between adjacent muscles.
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.
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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] Infrapatellar bursitis is relatively rare. [4]