Medicine:Infrapatellar bursitis
| Infrapatellar bursitis | |
|---|---|
| Other names | Pastor's knee,[1] Vicar's knee,[2] clergyman's knee[3] |
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| Cross section of the human knee | |
| Types | Superficial, deep[4] |
| Risk factors | Kneeling, crawling[5] |
| Diagnostic method | Based on symptom and physical examination[2] |
| Differential diagnosis | Patellar tendonitis, prepatellar bursitis[6] |
| Frequency | Relatively rare[5] |
Infrapatellar bursitis, also known as pastor's knee, is inflammation of the superficial or deep infrapatellar bursa.[1][4] Symptoms may include knee pain, swelling, and redness just below the kneecap.[3] It may be complicated by patellar tendonitis.[2]
Risk factors include kneeling or crawling.[5] It may also be brought on by frequent bending of the knees while standing, squatting, running, or jumping.[2][7] Diagnosis is generally based on symptom and physical examination.[2] When the deep bursa is involved, bending the knee generally increases the pain.[3] Other conditions that may appear similar include patellar tendonitis and prepatellar bursitis.[6]
Treatment is generally by rest, alternating between ice and heat, and NSAIDs.[2] Infrapatellar bursitis is relatively rare.[5] Due to the kneeling being enjoined in church services, infrapatellar bursitis has also been called pastor's knee, vicar's knee and clergyman's knee.[1][2][3]
References
- ↑ 1.0 1.1 1.2 Williams, Mark E. Williams (21 June 2010) (in en). Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. p. 205. ISBN 978-0-7864-5160-9. "Swelling and tenderness below the patella suggests infrapatellar bursitis (pastor's knee)."
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 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.
- ↑ 3.0 3.1 3.2 3.3 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.
- ↑ 4.0 4.1 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.
- ↑ 5.0 5.1 5.2 5.3 Khodaee, M (15 February 2017). "Common Superficial Bursitis.". American Family Physician 95 (4): 224–231. PMID 28290630.
- ↑ 6.0 6.1 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.
- ↑ 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.
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