Infrapatellar calcific bursitis - massive

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Since six years swelling right knee after fall trauma. Difficulty kneeling and walking.

Patient Data

Age: 95 years
Gender: Female

Presence of voluminous calcification in the infrapatellar bursa, in front of the patellar tendon.

Case Discussion

Calcific bursitis manifests as a result of a chronic inflammatory process that leads to calcification of the bursa. Inflammation, if chronic, leads to the formation of calcium deposits that tend to remain even after treatment.

Infrapatellar bursitis may occur due to acute trauma: fall/direct blow on to the knee, infection, crystal-depositing condition. Infrapatellar bursitis is more common in people with gout or pseudogout.

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