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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]
Management [ edit ] Although surgery has a role in repairing traumatic injuries and broken bones, arthroscopic surgeries do not provide significant or lasting improvements to either pain or function to people with knee pain, and therefore should almost never be performed. [ 27 ]
Infrapatellar fat pad syndrome, also known as Hoffa's disease, is when pain in the front of the knee occurs due to problems with the infrapatellar fat pad. [2] Pain is generally just below the kneecap. [2] Symptoms may worsen if the knee is overly straightened or bent for too long a period. [2]
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]
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]
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.
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The infrapatellar fat pad (Hoffa's fat pad) is a cylindrical piece of fat that is situated inferior and posterior to the patella bone within the knee, [1] intervening between the patellar ligament and synovial fold of the knee joint.
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