Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized swelling, erythema, and tenderness over the anterior aspect of the left knee. Onset is [acute/chronic], exacerbated by kneeling or direct pressure. Denies fever, chills, or systemic symptoms. No history of penetrating trauma or recent surgical intervention in the affected area.
Clinical Examination Findings
Left knee examination reveals a fluctuant, tender, and erythematous swelling localized to the prepatellar bursa. Skin integrity is intact without signs of cellulitis or purulent drainage. Range of motion of the left knee joint is preserved, though limited by discomfort at terminal flexion. No joint effusion or ligamentous laxity noted.
Treatment Protocol
Recommended management includes activity modification (avoiding kneeling), RICE protocol (Rest, Ice, Compression, Elevation), and non-steroidal anti-inflammatory drugs (NSAIDs). If persistent, consider aspiration of the bursa for fluid analysis and corticosteroid injection, or referral for surgical bursectomy if septic or refractory.