Infrapatellar bursitis
Infrapatellar bursitis | |
---|---|
Other names | Vicar's knee,[1] clergyman's knee[2] |
Cross section of the human knee | |
Types | Superficial, deep[3] |
Risk factors | Kneeling, crawling[4] |
Diagnostic method | Based on symptom and physical examination[1] |
Differential diagnosis | Patellar tendonitis, prepatellar bursitis[5] |
Frequency | Relatively 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
[edit]- ^ a b c d e f g Silver, Julie K.; Rizzo, Thomas D. (2008). Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences. p. 355. ISBN 9781416040071.
- ^ a b c d Kinirons, Mark; Ellis, Harold (2011). French's Index of Differential Diagnosis, 1 An A-Z. CRC Press. p. 377. ISBN 9781444128703.
- ^ a b Adams, James G. (2012). Emergency Medicine E-Book: Clinical Essentials (Expert Consult - Online and Print). Elsevier Health Sciences. p. 760. ISBN 9781455733941.
- ^ a b c d Khodaee, M (15 February 2017). "Common Superficial Bursitis". American Family Physician. 95 (4): 224–231. PMID 28290630.
- ^ a b Talley, Nicholas J.; O’Connor, Simon (2013). Clinical Examination: A Systematic Guide to Physical Diagnosis. Elsevier Health Sciences. p. 320. ISBN 9780729581479.
- ^ Waldman, Steven D. (2009). Pain Review: (Expert Consult: Online and Print). Elsevier Health Sciences. p. 320. ISBN 9781437711264.