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X-ray of the knee of a 12-year-old male, with knee effusion extending into the suprapatellar bursa.. In front, there are five bursae: 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]
Conservative treatment in primary acute LPD (lateral patellar dislocation) is the therapy of choice. It includes a multimodal approach with behavioural education of the patient, physical therapy, braces, weight reduction and pain medication. [4] Physical therapy especially focuses on muscle strengthening and proprioceptive exercises.
The primary symptom of prepatellar bursitis is swelling of the area around the kneecap. It generally does not produce a significant amount of pain unless pressure is applied directly. [4] The area may be red , warm to the touch, or surrounded by cellulitis, particularly if infection is present, often accompanied by fever.
Often there is sudden onset of pain and walking is difficult. [1] In a complete rupture, the ability to extend that knee is decreased. [1] A pop may be felt when it occurs. [2] Injury to the patellar tendon generally requires a significant force such as falling directly on the knee or jumping from a height. [1]
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.
"I can't put into words how I felt − anger, sadness and worry," parent Dustin Reed said about the incident at a Cracker Barrel in Waldorf, Maryland.
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.
"I’m literally lost for words knowing what this woman meant to me in such a pivotal point in my life. She was the only person that believed in me.