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Prepatellar bursitis (nonseptic)
From WikEM
Contents
Background
- Generally occurs via repetitive kneeling on hard surfaces
- One of the more common sites for septic bursitis (especially in children)
Clinical Features
- Mild pain
- Swelling over lower pole of patella that may result in restricted ROM
- May be so severe that must differentiate from a joint effusion
Differential Diagnosis
Knee diagnoses
Acute Injury
- Knee fractures
- Patella fracture
- Tibial plateau fracture
- Knee dislocation
- Patella dislocation
- Segond fracture
- Meniscus and ligament knee injuries
- Patellar Tendinitis (Jumper's knee)
- Patellar tendon rupture
- Quadriceps tendon rupture
Nontraumatic/Subacute
- Septic Joint
- Gout
- Popliteal cyst (Baker's)
- Prepatellar bursitis (nonseptic)
- Septic bursitis
- Pes anserine bursitis
- Patellofemoral syndrome (Runner's Knee)
- Patellar Tendinitis (Jumper's knee)
- Osgood-Schlatter disease
- Arthritis
Evaluation
- Clinical diagnosis, based on history and physical exam
Management
- Supportive
- NSAIDs
- Rest
- Warm compresses
- IV antibiotics if infected bursa (Septic bursitis) is suspected
Disposition
- Outpatient
