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If pushing the kneecap into the femur increases the pain, the diagnosis is more likely. [1] [3] Treatment typically involves rest and rehabilitation with a physical therapist. [6] Runners may need to switch to activities such as cycling or swimming. [3] Insoles may help some people. [3] Symptoms may last for years despite treatment. [3]
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 suprapatellar bursa or recess between the anterior surface of the lower part of the femur and the deep surface of the quadriceps femoris. [2] It allows for movement of the quadriceps tendon over the distal end of the femur. In about 85% of individuals, this bursa communicates with the knee joint.
The approach to diagnosis depends on the joint involved. While aspiration of the joint is considered the gold standard of treatment, this can be difficult for joints such as the hip. Ultrasound may be used both to verify the existence of an effusion and to guide aspiration. [2]
The condition may result from acute injury to the patella or chronic friction between the patella and a groove in the femur through which it passes during knee flexion. [11] Possible causes include a tight iliotibial band, neuromas, bursitis, overuse, malalignment, core instability, and patellar maltracking. [citation needed]
In human anatomy, a bursa is a small pouch filled with synovial fluid. Its purpose is to reduce friction between adjacent structures. The prepatellar bursa is one of several bursae of the knee joint, and is located between the patella and the skin. [8] Prepatellar bursitis is an inflammation of this bursa. Bursae are readily inflamed when ...
Patellofemoral (sometimes femoropatellar) refers to relations between the patella and the femur, such as: Knee, including the "Patellofemoral joint" Patellofemoral pain syndrome; Medial collateral ligament - the "Medial patellofemoral ligament"
Ballottement is a medical sign which indicates increased fluid in the suprapatellar pouch over the patella at the knee joint. To test ballottement the examiner would apply downward pressure towards the foot with one hand, while pushing the patella backwards against the femur with one finger of the opposite hand.