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Infrapatellar bursitis is inflammation of the superficial or deep infrapatellar bursa. [3] Symptoms may include knee pain , swelling, and redness just below the kneecap . [ 2 ] It may be complicated by patellar tendonitis .
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]
Bursitis of the knee Prepatellar bursitis - Housemaid's knee (most common) Infrapatellar bursitis - Clergyman's knee (Superficial infrapatellar bursitis and Deep infrapatellar bursitis) Semimembranosus bursitis; Tendinitis [4] Patellar tendinitis (Jumper's knee) Hamstring tendinitis; Popliteal tendinitis; Synovitis of the knee
Bursitis is the inflammation of one or more bursae (synovial sacs) of synovial fluid in the body. They are lined with a synovial membrane that secretes a lubricating synovial fluid. [ 1 ] There are more than 150 bursae in the human body. [ 1 ]
The prepatellar bursa and the olecranon bursa are the two bursae that are most likely to become infected, or septic. [10] Septic bursitis typically occurs when the trauma to the knee causes an abrasion, though it is also possible for the infection to be caused by bacteria traveling through the blood from a pre-existing infection site. [11]
The suprapatellar bursa is prevented from being pinched during extension by the articularis genus muscle. [4] On the tibia, the anterior reflection and attachment of the synovial membrane is located near the cartilage. [2] Anteriorly, the infrapatellar fat pad is inserted below the patella and between the two membranes.
Tenderness in the tibial tuberosity can arise from Osgood-Schlatter disease or deep infrapatellar bursitis.A bony prominence on the tibial tuberosity can be the result of ongoing Osgood-Schlatter’s irritation in an adolescent with open growth plates, or what remains of Osgood-Schlatter’s in adults.
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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