BURSITIS PATELAR PDF
La bursitis séptica es una enfermedad frecuente. Se produce principalmente en las bursas olecraneana y prepatelar, y afecta a varones de media edad. A bursa is a fluid-filled structure that is present between the skin and tendon or tendon and bone. The main function of a bursa is to reduce friction between. BACKGROUND: Septic bursitis usually affects subcutaneous localized bursae such the prepatellar and elbow bursae. This condition is infrequently reported in .
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Prepatellar bursitis is also called housemaid’s knee or carpenter’s knee. A bursa is a fluid-filled sac which ensures there is less friction between body parts.
The prepatellar bursa is located superficially between the skin and pattelar patella. The inflammation patela a bursa is called bursitis. A direct fall on the patella, an acute trauma, repeated blows or friction on the knee may cause prepatellar bursitis. Other causes include infections or low-grade inflammatory conditions, such as gout, syphilis, tuberculosis or rheumatoid arthritis. The patella is a triangular shaped bone in front of the knee.
It moves up and down in the groove of the femur when you bend and straighten your knee. The patellar tendon is a thick structure that connects the bottom of the patella with ptelar tibia. The upper part of the patella is connected to the quadriceps, which allows the knee extension and moves the patella upwards. Prepatellar bursitis affects men more often than women and it can emerge at all ages.
[Infectious bursitis: study of 40 cases in the pre-patellar and olecranon regions].
The incidence of prepatellar bursa is probably underestimated because most of the case are non-septic and only patients with the most severe cases of prepatellar bursitis requires admission in the hospital. Prepatellar bursitis is often confused with other causes of knee pain including: If it is uncertain whether or not the bursa is infected, an arthrocentesis can be done.
It is typically done for three reasons: When there is a limited range of motion or swells, a doctor may recommend using a needle and syringe to remove the fluid from the joint. This fluid can be send to labs for testing whether or not the bursa is infected. Common tests for infection are gram stain, white blood cell count an elevated number of white blood cells in the synovial fluid indicates infection and glucose levels tests when the levels are significantly lower than normal it may indicate an infection.
Gram stain is used to determine if there are certain troublesome bacteria present.
Prepatellar Bursitis (Housemaid’s Knee) – Knee & Sports – Orthobullets
Even when the test comes back negative, a septic bursitis cannot be completely ruled out. The treatment for prepatellar bursitis depends primarily on the cause of the bursitis and secondarily on the pathological changes in the bursa. Arthroscopic or endoscopic excision of the bursa has more recently been reported to have satisfactory results with less trauma than open excision. The patients are placed in a supine position and the ptaelar will be routinely applied on the thigh and not inflated until necessary.
The skin will be prepared in an aseptic manner over the whole lower extremity. For patelwr a 2. Two or three 2mm portals will be made; an anterior medial portal and anterior lateral portal are routinely patflar and if necessary a superior lateral portal.
To make a 2mm incision for each portal, a no. After this, the trochar will be inserted into the cavity and the other instruments will follow. The bursa cavity and synovial thickening are directly visible by the endoscopy. The motorized shaver inserts through the other portal and total synovectomy including the bursa will be performed until all the pathological lesions are removed.
When all the procedures are bhrsitis, the portals will be closed with adhesive tape without any suture. The anterior knee area is dressed with loosely unfolded gauze, padding and patepar is applied. The Rest, Ice, Compression and Elevation method  level of evidence 2a is commonly used treatment for prepatellar bursitis. This period should be limited to the first days patelra the trauma. Resting will reduce the metabolic demands of the injured tissue and will avoid increased blood flow.
The use of ice will cause a decrease of the temperature of the tissues paatelar question, inducing vasoconstriction and a limitation of the bleeding. Also the pain wel decrease because the ice will occur increasing threshold levels in the free nerve endings and at synapses. The compression will decrease the intramuscular blood flow to the affected area and will also reduce the swelling. At last there is the bursifis. This ensures that the hydrostatic pressure will decrease and it will also reduce the accumulation of interstitial fluid.
This part of the Rice-principle also decreases the pressure in local blood vessels and helps to limit the bleeding. However, the effectiveness of this RICE-method has not been proven in any randomized clinical trial. Once the initial inflammation has reduced a program of stretching and light strengthening will be initiated to restore full motion and improve strength to patelat stress on the tendons and knee joint.
Therapeutic exercises to strengthen and stretch the muscles of the knee. This includes static contraction of the quadriceps . This should be an exercise that the patient can do at home 1 to 3 times a day. The objective of the rehabilitation is that patient can resume their everyday activities. To see if the exercise is working you have to put your fingers on the inner side of the quadriceps, you will feel the muscle tighten during the contraction of the muscle. The patient has to hold burzitis contraction during 5 seconds; the pqtelar can be repeated ubrsitis times as hard as possible.
It is important not to forget this exercise must be pain free. Also the stretching of the quadriceps is a good exercise for the patient, it reduces the friction between the skin and the patella tendon. There is less friction when the patella tendon is more flexible. The physiotherapist can also help the patient by using electrotherapy modalities and patient education on the use of knee pads for kneeling activities.
In order bkrsitis prevent a prepatellar bursitis you should avoid injury or an overload of your muscles. It is very important to do an appropriate warm-up and cool down, while playing sports. For example if you play volleyball, it is advisable to wear knee pads.
This will prevent falling on the kneecap. Also when you spent a lot of time on your knees is it advisable to wear knee pads.
Prepatellar bursitis – Wikipedia
Another important thing to avoid a prepatellar bursitis is to check if the flexibility of the knee and the strength and endurance of the leg muscles stays optimal.
The prepatellar bursa is located under the skin and occurs in most people. When a bursa is inflamed, it’s called a bursitis. The inflammation can be of an infectious nature or a non-infectious nature.
Many different aetiologies have been proposed as the cause of prepatellar bursitis. It can be seen in the those who have to kneel very often, such patlear carpet layers and housemaids. Also a fall directly on the patella, an acute trauma, may cause patellar bursitis. Treatment for prepatellar bursitis depends primarily on the cause of the bursitis and patdlar on the pathological change in the bursa.
A bursitiis procedure is in most cases not required, but if needed, the surgical procedures involved are 1 aspiration and irrigation with a suitable drug, 2 incision and drainage in cases of acute suppurative bursitis, and 3 excision of chronically infected and thickened bursa.
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