Medicine:Infrapatellar bursitis

From HandWiki
Infrapatellar bursitis
Other namesVicar's knee,[1] clergyman's knee[2]
Prepatellar bursa.png
Cross section of the human knee
TypesSuperficial, deep[3]
Risk factorsKneeling, crawling[4]
Diagnostic methodBased on symptom and physical examination[1]
Differential diagnosisPatellar tendonitis, prepatellar bursitis[5]
FrequencyRelatively rare[4]

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.[1]

Risk factors include kneeling or crawling.[4] It may also be brought on by frequent bending of the knees while standing, squatting, running, or jumping.[1][6] Diagnosis is generally based on symptom and physical examination.[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] It has also been called vicar's knee and clergyman's knee.[1][2]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Silver, Julie K.; Rizzo, Thomas D. (2008) (in en). Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences. p. 355. ISBN 9781416040071. https://books.google.com/books?id=FiMoQ-OtbB0C&pg=PA355. 
  2. 2.0 2.1 2.2 2.3 Kinirons, Mark; Ellis, Harold (2011) (in en). French's Index of Differential Diagnosis, 1 An A-Z. CRC Press. p. 377. ISBN 9781444128703. https://books.google.com/books?id=qWzNBQAAQBAJ&pg=PA377. 
  3. 3.0 3.1 Adams, James G. (2012) (in en). Emergency Medicine E-Book: Clinical Essentials (Expert Consult - Online and Print). Elsevier Health Sciences. p. 760. ISBN 9781455733941. https://books.google.com/books?id=rpoH-KYE93IC&pg=PA760. 
  4. 4.0 4.1 4.2 4.3 Khodaee, M (15 February 2017). "Common Superficial Bursitis.". American Family Physician 95 (4): 224–231. PMID 28290630. 
  5. 5.0 5.1 Talley, Nicholas J.; O’Connor, Simon (2013) (in en). Clinical Examination: A Systematic Guide to Physical Diagnosis. Elsevier Health Sciences. p. 320. ISBN 9780729581479. https://books.google.com/books?id=a97QAgAAQBAJ&pg=PA320. 
  6. Waldman, Steven D. (2009) (in en). Pain Review: (Expert Consult: Online and Print). Elsevier Health Sciences. p. 320. ISBN 9781437711264. https://books.google.com/books?id=wnAYEsHdSLEC&pg=PA320.