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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 .
Prepatellar bursitis is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling at the knee, which can be tender to the touch and which generally does not restrict the knee's range of motion. It can be extremely painful and disabling as long as the underlying condition persists.
Symptoms may worsen if the knee is overly straightened or bent for too long a period. [2] Complications may include an inability to fully straighten the knee. [2] The underlying mechanism may involve bleeding, inflammation, or insufficient space for the fat pad. [2] This may occur as a result of trauma or surgery to the knee. [1]
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]
the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament. [2] It allows for movement of the patellar ligament over the tibia. [4] the subcutaneous (or superficial) infrapatellar bursa between the patellar ligament and skin. [2] the pretibial bursa between the tibial tuberosity and the skin. [2]
Patellar overload syndrome, runner's knee, [1] retropatellar pain syndrome [1] Diagram of the bones of the lower extremity. Rough distribution of areas affected by PFPS highlighted in red: patella and distal femur. Specialty: Orthopedics, sports medicine: Symptoms: Pain in the front of the knee [1] Usual onset: Gradual [2] Causes: Unclear [1 ...
Pes anserine bursitis may result from stress, overuse, obesity and trauma to this area. An occurrence of pes anserine bursitis commonly is characterized by pain at the medial knee and upper tibial region, especially when climbing stairs, tenderness, and local swelling. [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]
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