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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.
Septic arthritis is the purulent invasion of a joint by an infectious agent [5] [6] with a resultant large effusion due to inflammation. [7] Septic arthritis is a serious condition. It can lead to irreversible joint damage in the event of delayed diagnosis or mismanagement. It is basically a disease of children and adolescence. [6]
The CDC (Centers for Disease Control and Prevention) reported that 18.9 percent of American adults had been diagnosed with any type of arthritis, a common cause of joint pain, in 2022.
More aggressive treatments such as synovectomy, achieved using intra-articular agents (chemical or radioactive) can provide good results, with efficacy reported for at least 1 year. [10] Reducing acute joint swelling: Arthrocentesis (or drainage of joint) may be useful to relieve joint swelling and improve range of motion. Local steroid ...
The suprapatellar plica dividing the suprapatellar recess; The infrapatellar plica, in front of the anterior cruciate ligament, reaches from the intercondylar notch to the infrapatellar fat pad; The medial patellar plica, located adjacent to the patella's medial facet, runs vertically along the medial joint capsule
Arthrocentesis, or joint aspiration, is the clinical procedure performed to diagnose and, in some cases, treat musculoskeletal conditions. The procedure entails using a syringe to collect synovial fluid from or inject medication into the joint capsule .
However, some studies have shown that steroid injections may not be an effective treatment option. [14] After the bursitis has been treated, rehabilitative exercise may help improve joint mechanics and reduce chronic pain. [15]: p. 2320 Opinions vary as to which treatment options are most effective for septic prepatellar bursitis.
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