183 results match your criteria: "Prepatellar Bursitis"
Advanced Non-Operative Interventions for Anterior Knee Pain.
Curr Rev Musculoskelet Med
December 2024
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
Article Synopsis
- This review focuses on advanced non-operative treatments for common causes of anterior knee pain in adults, including techniques like extracorporeal shockwave therapy (ESWT), platelet-rich plasma (PRP), and other injection-based therapies.
- Recent findings indicate that ESWT and PRP show the strongest evidence for their effectiveness in treating conditions such as osteoarthritis and patellar tendinopathy, while other treatments like botulinum neurotoxin demonstrate strong support for patellofemoral pain syndrome.
- There is a need for further research to better understand the effectiveness of various treatments for knee pain, as well as to standardize treatment protocols, allowing clinicians to make informed decisions based on patient activity levels and potential risks.
Isolated tuberculosis of the patella mimicking as prepatellar bursitis.
BMJ Case Rep
August 2024
Department of Orthopaedics, Government Medical College Kathua, Kathua, Jammu and Kashmir, India.
Patellar tuberculosis (TB) is a rare manifestation of musculoskeletal tuberculosis, accounting for a small proportion of cases. This case report presents a detailed analysis of a female patient in her early 30s who presented with isolated TB of the patella without concurrent pulmonary involvement. The patient received antitubercular chemotherapy, consisting of a 4-month intensive phase followed by an 8-month continuation phase.
View Article and Find Full Text PDFAmbiguity of Primary Patellar Tuberculous Osteomyelitis as a Pre-Patellar Bursitis: A Case Report.
Arch Bone Jt Surg
January 2024
Article Synopsis
- A 47-year-old man initially diagnosed with prepatellar bursitis later discovered to have osteomyelitis of the patella due to tuberculosis.
- Treated through surgery (curettage and biopsy) and antibiotics, the patient's condition improved significantly.
- Early intervention is crucial for successful recovery, as differentiating between bursitis and tuberculous osteomyelitis can be difficult.
[A man with a swollen knee].
Ned Tijdschr Geneeskd
May 2024
Treant Zorggroep, afd. Orthopedie, Emmen.
Article Synopsis
- A 58-year-old man experienced knee swelling for 4 months.
- X-rays revealed bursal swelling but no bone problems.
- A diagnostic procedure showed abnormal fluid and confirmed chronic pre-patellar bursitis, likely due to past injury.
Prepatellar Morel-Lavallée Effusion Mimicking a Bursitis.
Cureus
April 2024
Radiology, Helora University Hospital, Nivelles, BEL.
Article Synopsis
- * A case study of a 63-year-old woman illustrates how an MRI helped correctly diagnose a prepatellar Morel-Lavallée lesion after an initial misdiagnosis.
- * Conservative treatment with compression was used for management, highlighting the importance of MRI in determining the extent of the lesion and aiding in treatment decisions.
2023 French recommendations for diagnosing and managing prepatellar and olecranon septic bursitis.
Joint Bone Spine
March 2024
Rheumatology Department, CHU d'Orléans, Orléans University, 45067 Orléans, France. Electronic address:
Article Synopsis
- Septic bursitis (SB) is a prevalent inflammatory condition, particularly linked to certain professions, and currently lacks standardized management guidelines.
- A collaborative group of healthcare specialists developed specific recommendations for treating olecranon and prepatellar SB, using a combination of literature review and expert insights.
- The newly established guidelines, aimed at various healthcare providers, emphasize the role of biological tests, imaging, antibiotic treatments, and address surgical options and prevention strategies.
Effects of a focused training on first-year osteopathic medical students' ability to incorporate point-of-care ultrasound in assessment of the anterior knee.
J Osteopath Med
September 2023
Department of Emergency Medicine, University of Arizona, Tucson, AZ, USA.
Article Synopsis
- Many patients visit clinics or emergency departments with painful, swollen knees, making it crucial to quickly identify the cause for effective treatment options like osteopathic manipulation or surgery.
- This study aimed to evaluate the impact of focused ultrasound training on first-year osteopathic medical students' ability to recognize normal knee anatomy and distinguish between three conditions: joint effusion, prepatellar bursitis, and cellulitis.
- Results showed that most students had little prior experience with ultrasound, and a majority successfully completed the training and assessments, demonstrating improved diagnostic skills after the focused training.
The Journey From Knee to Heart: A Case of Methicillin-Sensitive Staphylococcus aureus Infective Endocarditis Secondary to Septic Prepatellar Bursitis.
Cureus
March 2023
Internal Medicine, Reading Hospital - Tower Health, Reading, USA.
Article Synopsis
- The text discusses a serious condition involving gram-positive bacteremia, which is often linked to septic bursitis, a joint infection.
- While many cases report septic bursitis causing endocarditis and other complications, there are limited cases of septic bursitis leading to infective endocarditis.
- A specific patient case is presented, highlighting a person with a history of recurrent bursitis who developed sepsis and infective endocarditis.
Acute osteomyelitis of the patella due to Pseudomonas aeruginosa in an immunocompetent child: A case report.
Medicine (Baltimore)
February 2023
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Article Synopsis
- A 5-year-old boy developed patellar osteomyelitis caused by Pseudomonas aeruginosa following minor knee trauma, initially diagnosed with prepatellar bacterial cellulitis and bursitis.
- Despite prolonged antibiotic treatment and surgery, a significant osteolytic lesion developed, requiring further intravenous antibiotics to resolve.
- The patient eventually became asymptomatic but experienced minor leg length discrepancy due to overgrowth of the affected femur, emphasizing the rarity and complexities of treating osteomyelitis in children.
Characteristics and management of olecranon or prepatellar septic bursitis.
Infect Dis Now
March 2023
Rheumatology Department, Centre Hospitalier Régional d'Orléans, F-4067 Orleans, France. Electronic address:
Risk factors for revision surgery in operative treatment of traumatic injuries of the olecranon and prepatellar bursa.
BMC Musculoskelet Disord
November 2022
Department of Orthopedic, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, D-04103, Leipzig, Germany.
Introduction: Traumatic lacerations of the prepatellar (PB) and olecranon bursa (OB) are common injuries. The aim of this study was to gain descriptive data and to identify risk factors associated with complications that made revision surgery after primary bursectomy necessary.
Material And Methods: In this retrospective monocentric study at a level I trauma center, all patients with traumatic lacerations of the PB or OB who were treated with primary surgical bursectomy from 2015 to 2020 were analyzed.
Use of Non-Specific Knee Diagnoses and Incidence of Obscure Knee Injuries in a Large Government Health System.
Clin Epidemiol
October 2022
Department of Orthopaedics, School of Medicine, Duke University, Durham, NC, USA.
Article Synopsis
- The study aimed to evaluate the use of non-specific diagnoses for knee disorders within a large government health system, focusing on how often these diagnoses occur alone.
- Over the study period from 2009 to 2013, out of 127,570 patients, 99.7% were initially given a non-specific diagnosis, but only 16.5% remained without a more specific diagnosis after two years.
- The incidence of obscure knee disorders was low, ranging from 0.2% to 4.0%, indicating that diagnostic practices tend to become more specific as more information becomes available over time.
Efficacy of empiric antibiotic therapy without aspiration for septic prepatellar bursitis in emergency department patients.
Acad Emerg Med
August 2022
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Primary patella tuberculosis mimicking pre-patellar bursitis: A case report and review of the literature.
Int J Surg Case Rep
September 2021
Department of Orthopedic Surgery, Hospital FSI Marsa, Tunisia.
Article Synopsis
- The patella is an uncommon site for tuberculosis, with an incidence rate of only 0.09 to 0.15%, making it a rare but significant location for skeletal TB, which typically affects the knee.
- A case was reported involving a patient with primary tuberculous osteitis of the patella, diagnosed through a CT scan and biopsy after presenting with knee pain without a history of trauma; the patient underwent surgery and received 12 months of antibiotic treatment.
- Diagnosis of patellar TB can be challenging due to non-specific symptoms and the potential for misdiagnosis; early detection relies on radiological findings and biopsy confirmation, highlighting the need for awareness among clinicians to differentiate it from other conditions like bursitis and tumors.
An uncommon cause of soft tissue and knee infection after penetrating injury in a non-immunocompromised adolescent male.
SAGE Open Med Case Rep
August 2021
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Florida Health, Gainesville, FL, USA.
Article Synopsis
- Non-cholerae species are rare organisms that can infect humans, causing various health issues like gastroenteritis, wound infections, and septicemia.
- Infections from these species can result in severe outcomes, including amputations and death.
- A case is presented involving an 11-year-old boy who developed prepatellar bursitis in his knee after a wound from an oyster shell in the Gulf of Mexico, which was successfully treated with surgery and antibiotics (ciprofloxacin and doxycycline).
Prepatellar Bursitis with Abscess due to .
Case Rep Orthop
July 2021
Department of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, One Hospital Dr, Columbia, MO 65212, USA.
Article Synopsis
- Certain bacterial species are common on animal skin and mucosa, and while often seen as contaminants in clinical samples, they have shown significant pathogenic potential and can cause serious infections.
- Recent trends indicate a decline in diphtheria caused by one strain, while a related strain has increased its clinical impact in Europe, with similar virulence factors identified.
- A case study highlights a rural farmer in Missouri who developed an unusual infection (prepatellar bursitis with abscess) due to this bacteria, marking the first documented instance of this condition in medical literature, leading to recovery through surgery and antibiotics.*
Clinical characteristics and management of olecranon and prepatellar septic bursitis in a multicentre study.
J Antimicrob Chemother
October 2021
Rheumatology Department, CHU Nantes, Nantes, France.
Article Synopsis
- No established guidelines currently exist for managing septic bursitis (SB), prompting a study of its clinical characteristics and treatment across five French tertiary care centers.
- A total of 272 patients were observed, with a majority being male and a significant portion presenting with staphylococcal infections; most were treated successfully, with low failure rates found in patients who received antibiotic therapy for at least 14 days.
- The study concluded that SB often resolves well with medical management alone, and comparable success rates were noted for both surgical and non-surgical approaches, emphasizing the importance of treatment duration.
Prepatellar Glomus Tumor of the Knee without an Identifiable Mass on MRI: A Case Report.
JBJS Case Connect
April 2021
Department of Orthopaedic Surgery, NYU Langone Medical Center, New York, New York.
Article Synopsis
- A 71-year-old man experienced severe knee pain that seemed worse than what his diagnosis of prepatellar bursitis suggested.
- After surgery to remove the inflamed bursa, doctors discovered it was actually a glomangioma, a type of rare tumor.
- Following the surgery, the patient’s pain completely went away, highlighting the importance of considering glomus tumors in cases of intense knee pain, even without visible masses on imaging.
[Gigantic prepatellar "tumor" in rheumatoid arthritis-a case report].
Z Rheumatol
December 2021
Klinik für Orthopädie und Unfallchirurgie, AGAPLESION MARKUS KRANKENHAUS, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Deutschland.
In soft tissue tumors of the extremities it is of utmost importance to differentiate between benign and malignant entities. The majority of the swellings vary from benign tissue changes through soft tissue sarcomas up to pseudotumors. Because of the low incidence of malignancy and the predominantly benign alterations together with a high heterogeneity, there is a need for a reproducible diagnostic and therapeutic concept for the treatment of all tumors of the extremities.
View Article and Find Full Text PDFMini-invasive treatment with arthroscopic shaver for chronic non-infective prepatellar bursitis.
Asian J Surg
June 2021
Xing'an League People's Hospital, 66 Hanshan West Street, Ulanhot, Inner Mongolia, China. Electronic address:
Anterior Locking Plate Osteosynthesis of Patellar Factures - Analysis of Complications and Functional Outcome.
Z Orthop Unfall
October 2022
Orthopaedic Clinic, Hannover Medical University (MHH), DIAKOVERE Annastift, Hannover, Germany.
Background: Tension band wiring is the standard procedure for patellar fractures, but is associated with a high rate of implant related complications and implant failure. Tension band wiring may fail, especially with multifragmentary and comminuted fractures. Plate fixation of complex patellar fractures seems to be superior to wiring, both clinically and biomechanically.
View Article and Find Full Text PDFManagement of septic and aseptic prepatellar bursitis: a systematic review.
Arch Orthop Trauma Surg
October 2022
St George's University Hospitals NHS Foundation Trust, London, UK.
Article Synopsis
- A systematic review was conducted to find the best treatment for prepatellar bursitis, which causes significant issues in working-age adults and lacks clear treatment guidelines.
- The review analyzed data from 10 studies and found no significant difference in recurrence rates between endoscopic and open bursectomy, with 80% of endoscopic patients pain-free after one year.
- The findings suggest that endoscopic bursectomy is a viable, less invasive option for treating prepatellar bursitis, offering similar outcomes to traditional surgery but with shorter hospital stays.
Housemaid's Knee (Prepatellar Septic Bursitis).
Cureus
September 2020
Department of Internal Medicine, Shimane University Hospital, Izumo, JPN.
Article Synopsis
- An 83-year-old Japanese tatami craftsman with diabetes experienced severe pain and warmth in his right knee, accompanied by mild chills.*
- Fluid buildup in his prepatellar bursa led to a diagnosis of prepatellar septic bursitis after confirming the presence of infection in the synovial fluid culture.*
- Prepatellar bursitis is commonly referred to as "housemaid's knee" and typically affects individuals who spend a lot of time kneeling, such as housemaids, clergy, and gardeners.*