Document Type : Case Report

Authors

1 Department of Orthopaedics, Government Medical College, Haldwani, Uttarakhand, India

2 Department of Pathology, Government Medical College, Haldwani, Uttarakhand, India

Abstract

Introduction: Inflammation of the infrapatellar bursa results from various causes like trauma, infection and overuse. Superficial skin or soft tissue infection can also lead to occasional septic bursitis. Infrapatellar bursa has two parts, superficial and deep bursae. Superficial bursa inflammation reactive to adjacent superficial skin infection may occasionally lead to secondary bursitis.
Case Presentation: We report a rare finding of acute right knee pain with extraordinary amount of fluid collection within superficial part of infrapatellar bursa in an elderly male patient. A secondary, septic and massive superficial infrapatellar bursitis was unusual in its appearance mimicking neoplastic lesion. Judicious use of clinical assessment and imaging helped to diagnose the condition.
Conclusion: Early diagnosis and treatment of bursitis can ensure optimal outcome and it can be used to check further complications. Atypical presentation of any bursitis should be acknowledged and the judici

Keywords

Main Subjects

1. Chatra PS. Bursae around the knee joints. Indian JRadiol Imaging 2012; 22(1): 27-30. doi: 10.4103/0971- 3026.95400.

2. McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol 2004; 33(4): 187-209. doi: 10.1007/s00256-003-0741-y.

3. Truong J, Ashurst JV. Septic Bursitis. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2019.

4. Lieber SB, Fowler ML, Zhu C, Moore A, Shmerling RH, Paz Z. Clinical characteristics and outcomes of septic bursitis. Infection 2017; 45(6): 781-6. doi: 10.1007/s15010-017-1030-3.

5. Zimmermann B 3rd, Mikolich DJ, Ho G Jr. Septic bursitis. Semin Arthritis Rheum 1995; 24(6): 391- 410. doi: 10.1016/s0049-0172(95)80008-5.

6. Viegas FC, Aguiar RO, Gasparetto E, Marchiori E, Trudell DJ, Haghighi P, et al. Deep and superficial infrapatellar bursae: cadaveric investigation of regional anatomy using magnetic resonance after ultrasound-guided bursography. Skeletal Radiol 2007; 36(1): 41-6. doi: 10.1007/s00256-006-0142-0.