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Prepatellar and Pretibial Bursitis
Prepatellar and Pretibial Bursitis
Donna G. Blankenbaker, MD, FACR; Andrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Washerwoman's knee, housemaid's knee, preacher's knee, superficial infrapatellar bursitis (pretibial)

          • Definitions

            • Inflammation of bursae anterior to patella (prepatellar) or tibial tubercle (pretibial)

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Liu YW et al: The anterior knee: normal variants, common pathologies, and diagnostic pitfalls on MRI. Skeletal Radiol. 47(8):1069-86, 2018
                                    2. Vassalou EE et al: Morel-Lavallée lesions of the knee: MRI findings compared with cadaveric study findings. AJR Am J Roentgenol. 210(5):W234-9, 2018
                                    3. McMahon CJ et al: The extensor mechanism: imaging and intervention. Semin Musculoskelet Radiol. 21(2):89-101, 2017
                                    4. Draghi F et al: Knee bursitis: a sonographic evaluation. J Ultrasound. 18(3):251-7, 2015
                                    5. Northam MC et al: Presumed prepatellar fibrosis in collegiate wrestlers: imaging findings and clinical correlation. Skeletal Radiol. 44(2):271-7, 2015
                                    6. Bonilla-Yoon I et al: The Morel-Lavallée lesion: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 21(1):35-43, 2014
                                    7. Grando H et al: MR imaging of extrasynovial inflammation and impingement about the knee. Magn Reson Imaging Clin N Am. 22(4):725-41, 2014
                                    8. Hong E et al: Evaluating anterior knee pain. Med Clin North Am. 98(4):697-717, xi, 2014
                                    9. Vanhegan IS et al: The Morel-Lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review. Case Rep Orthop. 2012:593193, 2012
                                    10. Huang YC et al: Endoscopic treatment of prepatellar bursitis. Int Orthop. 35(3):355-8, 2011
                                    11. McCarthy EM et al: Infrapatellar bursitis: an occupational legacy. J Clin Rheumatol. 17(1):49-50, 2011
                                    12. Ike RW: Chemical ablation as an alternative to surgery for treatment of persistent prepatellar bursitis. J Rheumatol. 36(7):1560, 2009
                                    13. Marra MD et al: MRI features of cystic lesions around the knee. Knee. 15(6):423-38, 2008
                                    14. Donahue F et al: Hemorrhagic prepatellar bursitis. Skeletal Radiol. 25(3):298-301, 1996
                                    15. Kerr DR: Prepatellar and olecranon arthroscopic bursectomy. Clin Sports Med. 12(1):137-42, 1993
                                    16. Myllymäki T et al: Carpet-layer's knee. An ultrasonographic study. Acta Radiol. 34(5):496-9, 1993
                                    17. Bellon EM et al: Magnetic resonance imaging in "housemaid's knee" (prepatellar bursitis). Magn Reson Imaging. 5(3):175-7, 1987
                                    18. Mysnyk MC et al: Prepatellar bursitis in wrestlers. Am J Sports Med. 14(1):46-54, 1986
                                    19. Quayle JB et al: An operation for chronic prepatellar bursitis. J Bone Joint Surg Br. 58-B(4):504-6, 1976
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Synonyms

                                              • Washerwoman's knee, housemaid's knee, preacher's knee, superficial infrapatellar bursitis (pretibial)

                                            • Definitions

                                              • Inflammation of bursae anterior to patella (prepatellar) or tibial tubercle (pretibial)

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Liu YW et al: The anterior knee: normal variants, common pathologies, and diagnostic pitfalls on MRI. Skeletal Radiol. 47(8):1069-86, 2018
                                                                      2. Vassalou EE et al: Morel-Lavallée lesions of the knee: MRI findings compared with cadaveric study findings. AJR Am J Roentgenol. 210(5):W234-9, 2018
                                                                      3. McMahon CJ et al: The extensor mechanism: imaging and intervention. Semin Musculoskelet Radiol. 21(2):89-101, 2017
                                                                      4. Draghi F et al: Knee bursitis: a sonographic evaluation. J Ultrasound. 18(3):251-7, 2015
                                                                      5. Northam MC et al: Presumed prepatellar fibrosis in collegiate wrestlers: imaging findings and clinical correlation. Skeletal Radiol. 44(2):271-7, 2015
                                                                      6. Bonilla-Yoon I et al: The Morel-Lavallée lesion: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 21(1):35-43, 2014
                                                                      7. Grando H et al: MR imaging of extrasynovial inflammation and impingement about the knee. Magn Reson Imaging Clin N Am. 22(4):725-41, 2014
                                                                      8. Hong E et al: Evaluating anterior knee pain. Med Clin North Am. 98(4):697-717, xi, 2014
                                                                      9. Vanhegan IS et al: The Morel-Lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review. Case Rep Orthop. 2012:593193, 2012
                                                                      10. Huang YC et al: Endoscopic treatment of prepatellar bursitis. Int Orthop. 35(3):355-8, 2011
                                                                      11. McCarthy EM et al: Infrapatellar bursitis: an occupational legacy. J Clin Rheumatol. 17(1):49-50, 2011
                                                                      12. Ike RW: Chemical ablation as an alternative to surgery for treatment of persistent prepatellar bursitis. J Rheumatol. 36(7):1560, 2009
                                                                      13. Marra MD et al: MRI features of cystic lesions around the knee. Knee. 15(6):423-38, 2008
                                                                      14. Donahue F et al: Hemorrhagic prepatellar bursitis. Skeletal Radiol. 25(3):298-301, 1996
                                                                      15. Kerr DR: Prepatellar and olecranon arthroscopic bursectomy. Clin Sports Med. 12(1):137-42, 1993
                                                                      16. Myllymäki T et al: Carpet-layer's knee. An ultrasonographic study. Acta Radiol. 34(5):496-9, 1993
                                                                      17. Bellon EM et al: Magnetic resonance imaging in "housemaid's knee" (prepatellar bursitis). Magn Reson Imaging. 5(3):175-7, 1987
                                                                      18. Mysnyk MC et al: Prepatellar bursitis in wrestlers. Am J Sports Med. 14(1):46-54, 1986
                                                                      19. Quayle JB et al: An operation for chronic prepatellar bursitis. J Bone Joint Surg Br. 58-B(4):504-6, 1976