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{{Short description|Inflammation of the synovial fluid sac below the kneecap}} |
{{Short description|Inflammation of the synovial fluid sac below the kneecap}} |
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{{Infobox medical condition (new) |
{{Infobox medical condition (new) |
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| synonym = Pastor’s knee,<ref name=”Williams2010″/> Vicar’s knee,<ref name=Sil2008/> clergyman’s knee<ref name=Kin2011/> |
| synonym = Pastor’s knee,<ref name=”Williams2010″/> Vicar’s knee,<ref name=Sil2008/> clergyman’s knee<ref name=Kin2011/> |
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| image = Infrapatellar fat pad.svg |
| image = Infrapatellar fat pad.svg |
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Latest revision as of 00:45, 17 November 2025
Inflammation of the synovial fluid sac below the kneecap
Medical condition
Infrapatellar bursitis, also known as pastor’s knee, is inflammation of the superficial or deep infrapatellar bursa.[1][4] Symptoms may include knee pain, swelling, and redness just below the kneecap.[3] It may be complicated by patellar tendonitis.[2]
Risk factors include kneeling or crawling.[5] It may also be brought on by frequent bending of the knees while standing, squatting, running, or jumping.[2][7] Diagnosis is generally based on symptom and physical examination.[2] When the deep bursa is involved, bending the knee generally increases the pain.[3] Other conditions that may appear similar include patellar tendonitis and prepatellar bursitis.[6]
Treatment is generally by rest, alternating between ice and heat, and NSAIDs.[2] Infrapatellar bursitis is relatively rare.[5] Due to the kneeling being enjoined in church services, infrapatellar bursitis has also been called pastor‘s knee, vicar‘s knee and clergyman’s knee.[1][2][3]
- ^ a b c Williams, Mark E. Williams (21 June 2010). Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. p. 205. ISBN 978-0-7864-5160-9.
Swelling and tenderness below the patella suggests infrapatellar bursitis (pastor’s knee).
- ^ a b c d e f g Silver, Julie K.; Rizzo, Thomas D. (2008). Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences. p. 355. ISBN 9781416040071.
- ^ a b c d Kinirons, Mark; Ellis, Harold (2011). French’s Index of Differential Diagnosis, 1 An A-Z. CRC Press. p. 377. ISBN 9781444128703.
- ^ a b Adams, James G. (2012). Emergency Medicine E-Book: Clinical Essentials (Expert Consult – Online and Print). Elsevier Health Sciences. p. 760. ISBN 9781455733941.
- ^ a b c d Khodaee, M (15 February 2017). “Common Superficial Bursitis”. American Family Physician. 95 (4): 224–231. PMID 28290630.
- ^ a b Talley, Nicholas J.; O’Connor, Simon (2013). Clinical Examination: A Systematic Guide to Physical Diagnosis. Elsevier Health Sciences. p. 320. ISBN 9780729581479.
- ^ Waldman, Steven D. (2009). Pain Review: (Expert Consult: Online and Print). Elsevier Health Sciences. p. 320. ISBN 9781437711264.
