Infrapatellar bursitis
| Infrapatellar bursitis | |
|---|---|
| Other names | Pastor's knee,[1] Vicar's knee,[2] clergyman's knee[3] |
| File:Infrapatellar fat pad.svg | |
| Cross section of the human knee | |
| Types | Superficial, deep[4] |
| Risk factors | Kneeling, crawling[5] |
| Diagnostic method | Based on symptom and physical examination[2] |
| Differential diagnosis | Patellar tendonitis, prepatellar bursitis[6] |
| Frequency | Relatively rare[5] |
Infrapatellar bursitis, also known as pastor's knee, is inflammation of the superficial or deep infrapatellar bursa.[1][4] Symptoms may include knee pain, swelling, and redness just below the kneecap.[3] It may be complicated by patellar tendonitis.[2]
Risk factors include kneeling or crawling.[5] It may also be brought on by frequent bending of the knees while standing, squatting, running, or jumping.[2][7] Diagnosis is generally based on symptom and physical examination.[2] When the deep bursa is involved, bending the knee generally increases the pain.[3] Other conditions that may appear similar include patellar tendonitis and prepatellar bursitis.[6]
Treatment is generally by rest, alternating between ice and heat, and NSAIDs.[2] Infrapatellar bursitis is relatively rare.[5] Due to the kneeling being enjoined in church services, infrapatellar bursitis has also been called pastor's knee, vicar's knee and clergyman's knee.[1][2][3]
References
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