Mega calcification in the infra patellar bursa

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Swelling of the right knee for six years, the onset of symptoms after fall. Difficulty kneeling and walking.

Patient Data

Age: 95 years
Gender: Female

A large calcification projecting below the patella, 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 to the knee, infection or crystal deposition disease (infrapatellar bursitis is more common in people with gout or pseudogout).

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