prepatellar bursitis

Prepatellar bursitis
	Classification and external resources
	; Aseptic prepatellar bursitis
ICD-10	M70.4
ICD-9	726.65

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/03/31 07:10:26」(JST)

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Prepatellar bursitis, also known as Housemaid's knee, is a common cause of swelling and pain above the patella (kneecap), and is due to inflammation of the prepatellar bursa. This structure is a superficial bursa with a thin synovial lining located between the skin and the patella. The bursa develops within the first years of life as a result of mechanical pressure and friction, and it serves the purpose of reducing friction on underlying structures and allowing maximal range of motion in the knee. Aseptic prepatellar bursitis is commonly caused by repetitive work in a kneeling position, hence the name "housemaid's knee".

Inflammation of the prepatellar bursa may be aseptic (most common) or septic (e.g. bacterial infection), the septic variants being most common in children and immunocompromised individuals. Prepatellar bursitis is more common in men than women.

Symptoms

Knee pain
Swelling
Redness
Inability to flex the knee

Treatment

Aseptic bursitis is usually managed conservatively, but complicated cases may be treated with oral NSAIDs or corticosteroid injections when infection has been ruled out. Surgical excision is seldom necessary. Acute bursitis can develop into a chronic issue if the cause is not identified and addressed.

References

BBC health
Goroll, Allan H.; Mulley, Albert G.. Primary Care Medicine: Office Evaluation and Management of the Adult Patient. Lippincott Williams & Wilkins. p. 1058. ISBN 9-7807-8177-5137.

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UpToDate Contents

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1. 膝滑液包炎 knee bursitis
2. 敗血症性滑液包炎 septic bursitis
3. 小児または骨格発達の未成熟な思春期の慢性膝関節痛または損傷に対するアプローチ approach to chronic knee pain or injury in children or skeletally immature adolescents
4. 成人における膝痛の総合的評価 general evaluation of the adult with knee pain
5. 滑液包炎：臨床症状、診断、およびマネージメントの概要 bursitis an overview of clinical manifestations diagnosis and management

English Journal

[Treatment concept for a traumatic lesion of the prepatellar bursa].

Kaiser P1, Schmidle G2, Raas C2, Blauth M2.
Operative Orthopädie und Traumatologie.Oper Orthop Traumatol.2015 Oct;27(5):427-36; 437-8. doi: 10.1007/s00064-015-0414-8. Epub 2015 Aug 28.
OBJECTIVE: Rapid recovery of the skin and soft tissue of the affected knee joint with surgical debridement of the wound and gentle, as well as risk-balanced partial resection of the traumatic lacerated prepatellar bursa. Functional aftercare with directed administration of antibiotics only.INDICATIO
PMID 26314411

Caring for Wrestlers.

Kiningham R1, Monseau A.
Current sports medicine reports.Curr Sports Med Rep.2015 Sep-Oct;14(5):404-12. doi: 10.1249/JSR.0000000000000193.
Wrestling is a popular high school and college sport with an injury and illness rate second only to football. It is important that the physician providing medical care for wrestlers be familiar with the unique characteristics of wrestling and the associated common injuries and medical problems. Comm
PMID 26359843

Vaginal bleeding and hemorrhagic prepatellar bursitis in a preadolescent girl, possibly related to fluoxetine.

Türkoğlu S1, Türkoğlu G.
Journal of child and adolescent psychopharmacology.J Child Adolesc Psychopharmacol.2015 Mar;25(2):186-7. doi: 10.1089/cap.2014.0124. Epub 2015 Mar 6.
PMID 25749013