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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]
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]
Bursitis of the knee Prepatellar bursitis - Housemaid's knee (most common) Infrapatellar bursitis - Clergyman's knee (Superficial infrapatellar bursitis and Deep infrapatellar bursitis) Semimembranosus bursitis; Tendinitis [4] Patellar tendinitis (Jumper's knee) Hamstring tendinitis; Popliteal tendinitis; Synovitis of the knee
Tenderness in the tibial tuberosity can arise from Osgood-Schlatter disease or deep infrapatellar bursitis.A bony prominence on the tibial tuberosity can be the result of ongoing Osgood-Schlatter’s irritation in an adolescent with open growth plates, or what remains of Osgood-Schlatter’s in adults.
The suprapatellar bursa is prevented from being pinched during extension by the articularis genus muscle. [4] On the tibia, the anterior reflection and attachment of the synovial membrane is located near the cartilage. [2] Anteriorly, the infrapatellar fat pad is inserted below the patella and between the two membranes.
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. [4] [5] Recovery can take months and persist over years.
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]
Damage to the saphenous nerve and its infrapatellar branch is possible during medial knee surgery, potentially causing numbness or pain over the medial knee and leg. [7] As with all surgeries, there is a risk of bleeding, wound problems, deep vein thrombosis , and infection that can complicate the outcome and rehabilitation process.
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