User:Mr. Ibrahem/Prepatellar bursitis

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Prepatellar bursitis
Other namesCarpet layer's knee, coal miner's knee, housemaid's knee,[1] carpenters knee,[2] beat knee,[3] rug cutter's knee,[4] nun's knee[5]
Aseptic prepatellar bursitis of the knee near the camera
SpecialtyOrthopedics, sports medicine
SymptomsSwelling, redness, and tenderness in front of knee[2]
ComplicationsInfection[2]
CausesRepetitive minor trauma, acute injury, gout, rheumatoid arthritis, infection[2]
Risk factorsProfessions that require frequent kneeling, poor immune function[1][2]
Diagnostic methodBased on symptoms and examination, potentially aspiration to rule out infection[2]
Differential diagnosisPatellar tendonitis, patellar subluxation, tibial apophysitis, septic arthritis, cellulitis[2]
TreatmentRest, NSAIDS, applying ice[2]
PrognosisGenerally good[2]
FrequencyRelatively common[1]

Prepatellar bursitis is inflammation of the prepatellar bursa at the front of the knee.[2] Symptoms generally include swelling, redness, tenderness, and possibly minor decrease in range of motion.[2][4] Cases of longer duration generally have little pain.[2]

It most commonly due to repetitive minor trauma to the knee, such as from kneeling.[1] Other causes may include a single injury, gout, rheumatoid arthritis, or infection.[2] Risk factors include professions that require frequent kneeling and poor immune function.[1][2] Diagnosis is usually based on symptoms and examination, with potentially aspiration to rule out infection.[2]

Treatment may include rest, NSAIDS, and applying ice.[2] If infected 7 days of antibiotics are generally sufficient.[6] Steroid injection maybe used for long term cases.[2] In cases that fail other measures, bursectomy may be carried out.[2] Outcomes are generally good.[2]

Prepatellar bursitis is relatively common, estimated to affect about 1 in 10,000 people a year; second in frequency only to olecranon bursitis.[1][2] It occurs more commonly in males than females.[2] Those between the ages of 40 and 60 are most commonly affected.[2] It has historically been called housemaids, carpet layers, or carpenters knee.[2]

References[edit]

  1. ^ a b c d e f Khodaee, M (15 February 2017). "Common Superficial Bursitis". American family physician. 95 (4): 224–231. PMID 28290630.
  2. ^ a b c d e f g h i j k l m n o p q r s t u v w Rishor-Olney, CR; Pozun, A (January 2022). "Prepatellar Bursitis". StatPearls. PMID 32491440.
  3. ^ Wilson-Macdonald, James (1987). "Management and outcome of infective prepatellar bursitis". Postgrad Med J. 63 (744): 851–853. doi:10.1136/pgmj.63.744.851. PMC 2428634. PMID 3447109.
  4. ^ a b Roberts, James R.; Hedges, Jerris R. (28 May 2013). Roberts and Hedges’ Clinical Procedures in Emergency Medicine E-Book. Elsevier Health Sciences. p. 1068. ISBN 978-1-4557-4859-4. Archived from the original on 18 January 2023. Retrieved 18 January 2023.
  5. ^ "2012 ICD-9-CM Diagnosis Code 727.2 : Specific bursitides often of occupational origin". Archived from the original on 2016-10-29. Retrieved 2023-01-14.
  6. ^ Brown, OS; Smith, TO; Parsons, T; Benjamin, M; Hing, CB (October 2022). "Management of septic and aseptic prepatellar bursitis: a systematic review". Archives of orthopaedic and trauma surgery. 142 (10): 2445–2457. doi:10.1007/s00402-021-03853-9. PMID 33721054.
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