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X-ray of the knee of a 12-year-old male, showing knee effusion of medium severity, marked by black arrows. It displaces the patella anteriorly and extends into the suprapatellar bursa. An X-ray is useful to verify that there is no break or dislocation when there is a history of trauma. May show signs of osteoarthritis.
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.
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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]
It seems to affect slightly more women than men. Episodes of swelling last several days or longer, can occur with regular or semi-regular frequency, typically one or two episodes per month. Between periods of effusion, knee swelling reduces dramatically providing largely symptomless intervals.
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
Joint effusion and limited range of motion are common associated features. It affects primarily large joints, including knee (>50% of cases), elbow, hip, and shoulder. SOC is twice as common in men as women. Some patients have intra-articular bodies resting in stable positions within joint recesses or bursae.
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] Patellofemoral pain syndrome is the most common cause of knee pain, affecting more than 20% of young ...