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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 .
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]
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.
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.
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.
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 .
Furthermore, studies have found knee pain to be negatively associated with health-related quality of life, and an increase in knee pain to be associated with a reduction in patient-reported quality of life, as compared to those with no or stable knee pain, even in the relatively younger middle-aged population. [34]
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