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Infrapatellar bursitis
Other namesVicar's knee, [1] clergyman's knee [2]
Cross section of the human knee
TypesSuperficial, deep [3]
Risk factorsKneeling, crawling [4]
Diagnostic methodBased on symptom and physical examination [1]
Differential diagnosis Patellar 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. ^ 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.
  2. ^ 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.
  3. ^ a b Adams, James G. (2012). Emergency Medicine E-Book: Clinical Essentials (Expert Consult - Online and Print). Elsevier Health Sciences. p. 760. ISBN  9781455733941.
  4. ^ a b c d Khodaee, M (15 February 2017). "Common Superficial Bursitis". American Family Physician. 95 (4): 224–231. PMID  28290630.
  5. ^ a b Talley, Nicholas J.; O’Connor, Simon (2013). Clinical Examination: A Systematic Guide to Physical Diagnosis. Elsevier Health Sciences. p. 320. ISBN  9780729581479.
  6. ^ Waldman, Steven D. (2009). Pain Review: (Expert Consult: Online and Print). Elsevier Health Sciences. p. 320. ISBN  9781437711264.