Orthopedics Book

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Prepatellar Bursitis

Aka: Prepatellar Bursitis, Prepatellar Bursa, Patellar Bursitis
  1. Mechanism
    1. Direct trauma to anterior Patella without rotation
  2. Causes
    1. Chronic Kneeling (e.g. carpet layers, gardeners)
    2. Acute direct trauma
  3. Symptoms
    1. Anterior Knee Pain and swelling
  4. Signs
    1. Tenderness over Prepatellar Bursa
      1. Anterior knee overlying Patella
      2. Dome shaped swelling
  5. Differential diagnosis
    1. PatellaContusion
    2. PatellaFracture
    3. Intra-articular Knee Injury
    4. Septic knee
  6. Management
    1. NSAIDs
    2. Local Ice Therapy
    3. Eliminate pressure overlying Patella
    4. Prepatellar Bursa Injection (refractory cases)
  7. References
    1. Greene (2001) Musculoskeletal Care, AAOS, p. 335-6
    2. Cardone (2003) Am Fam Physician 67(10):2147-52

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