Alpha 2.0
Login Register
» Articles » PMID: 37654744

An Unusually Massive Hemorrhagic Superficial Infrapatellar Bursa Excised in a One-stage Procedure: Case Report

Overview
Journal J Orthop Case Rep
Specialty Orthopedics
Date 2023 Sep 1
PMID 37654744
Authors
Mohamed Abdelghany
Ahmed Abdelrazak
Mohamed Raafat
Eslam Fattouh
Affiliations
Soon will be listed here.
Abstract

Introduction: Superficial infrapatellar bursitis may be traumatic, inflammatory, or infectious. It rarely attains massive dimensions. Open excision can be performed as a one-stage or a two-stage procedure, and endoscopy can be an alternative. We report a chronic, unusually massive, hemorrhagic infrapatellar bursa which we resected totally in a single stage procedure with no significant complications.

Case Report: A 65-year-old male farmer presented with a chronic massive swelling in front of the right knee which first appeared 4 years earlier and had no effect on his general condition. The mass was excised in a one-stage procedure and it was found to be a hemorrhagic bursitis. The wound healed uneventfully and, on follow-up 7 weeks later, the patient was able to perform full flexion and extension of the knee.

Conclusion: Two-stage procedures for excision are effective, but one-stage procedures are equally effective in chronic cases, provided the dissection is performed meticulously and atraumatically.

References
1.
Marra M, Crema M, Chung M, Roemer F, Hunter D, Zaim S . MRI features of cystic lesions around the knee. Knee. 2008; 15(6):423-38. DOI: 10.1016/j.knee.2008.04.009. View
2.
Steinbach L, Stevens K . Imaging of cysts and bursae about the knee. Radiol Clin North Am. 2013; 51(3):433-54. DOI: 10.1016/j.rcl.2012.10.005. View
3.
Beaman F, Peterson J . MR imaging of cysts, ganglia, and bursae about the knee. Magn Reson Imaging Clin N Am. 2007; 15(1):39-52. DOI: 10.1016/j.mric.2007.02.001. View
4.
Morrison J, Kaplan P . Water on the knee: cysts, bursae, and recesses. Magn Reson Imaging Clin N Am. 2000; 8(2):349-70. View
5.
Uckay I, von Dach E, Perez C, Agostinho A, Garnerin P, Lipsky B . One- vs 2-Stage Bursectomy for Septic Olecranon and Prepatellar Bursitis: A Prospective Randomized Trial. Mayo Clin Proc. 2017; 92(7):1061-1069. DOI: 10.1016/j.mayocp.2017.03.011. View