Pre-patellar bursitis

Case contributed by Dr Maulik S Patel

Presentation

Trauma to anterior knee - about 4 - 5 wks back. C/o local swelling. No pain.

Patient Data

Age: about 55 yrs
Gender: Male
X-ray

There is reduction of medial femoro-tibial compartment with osteophytes from periarticular surface of femur, tibia and patella.

There is intra-medullary nail in visualized femur length. ( History of Surgery done many yrs back ).

There is quadriceps enthesophyte.

There is pre-patellar soft tissue swelling.

Ultrasound

USG was done mainly for pre-patellar swelling.

There is pre-patellar fluid collection with septa. It is compressible. Perifocal hypervascularity is noted.

Quadriceps and patellar tendons were normal. 

There was no supra-patellar joint effusion.

On medial side of knee, coronal view shows osteophytes from femur and tibia. Medial meniscus is extruded from joint.

Case Discussion

Findings of post-traumatic pre-patellar bursitis.  There is a case of degenerative joint disease showing extruded meniscus.

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Case information

rID: 40686
Case created: 30th Oct 2015
Last edited: 22nd Jan 2016
Inclusion in quiz mode: Included

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