Patellar Bursitis
Age: years old
Gender:
HISTORY:
Presents with a - history of knee
Onset was , started
Location is
Radiation to
Rated at / 10 ,
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: , , , ,
EXAM:
Knee:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
Strength: , except on
Neurovascular: , distal pulses , cap refill sec, sensation
Special tests:
- Patellar tap:
- Bulge test:
- Lachman test:
- Anterior drawer test:
- Posterior drawer test:
- Valgus stress test:
- Varus stress test:
- McMurray test:
- Thessaly test:
- Patellar apprehension test:
- Pivot shift test:
- Patellar grind test:
- Apley test:
Gait: ,
ASSESSMENT:
DDx: patellar bursitis, prepatellar bursitis, infrapatellar bursitis, suprapatellar bursitis, septic bursitis, patellofemoral pain syndrome, patellar tendinitis, Osgood-Schlatter disease, Sinding-Larsen-Johansson syndrome, quadriceps tendinitis, meniscal tear, ligament injury, gout, rheumatoid arthritis, osteoarthritis, jumper's knee, knee sprain, IT band syndrome
PLAN:
Investigations:
- Knee X-ray
- Blood work: ,
Treatments:
- Rest and elevation
- Ice application
- Knee brace
-
-
- Steroid injection
- Physical therapy
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if symptoms worsens, if new symptoms develop such as redness, or if symptoms do not improve with treatment
- Referral to ER if severe pain, inability to move the knee, or fever occurs
HISTORY: Associated symptoms: EXAM: Knee: ASSESSMENT: PLAN: