Manifestations and treatment suprapatellar bursitis of the knee
Bursitis is the inflammation of the knee joint in juxta-articular (synovial) bag. Suprapatellar bursitis of the knee knee is in the bag.
Why is there and how manifested?
The Causes of bursitis are different, but the most common are:
- traumas (contusions, hematomas, sprains);
- spread of infection from foci at other sites;
- long mechanical impact on the joint or a big load
- complication of other diseases of the knee joint (arthritis, gout)
- complication of autoimmune diseases (lupus erythematosus);
- allergic reaction.
the symptoms of the disease depend on the neglect, but the location (the defeat of the right or left knee) does not matter.
The Main signs of pathology are:
- swelling of the joint;
- redness of the skin over the site of inflammation;
- the violation of motion in joints;
- infectious process in the joint capsule is accompanied by a General intoxication of the body;
- secondary bursitis may be accompanied by activation of underlying disease.
Classification of bursitis
To Classify the bursitis as follows:
- the nature of the flow: acute or chronic;
- localization: suprapatellar bursitis of the knee joint and infrapatellar prepatellar;
- etiology: serous or purulent.
Acute bursitis is characterized by a rapid onset and rapid course. First, there is a strong pain in the joint, mainly when performing flexor or extensor movements. Attempt palpation of the joint accompanied by severe pain, which may radiate to adjacent joints (hip and ankle). Determined by swelling, redness, skin hot to the touch.
The Process occurs later after the trauma and is accompanied by signs of acute inflammation in the synovial bag, may be accompanied by accumulation of fluid in the joint cavity. And the latest infection leads to active inflammation and possibly purulent fusion of tissues that has a poor prognosis in most cases even after prolonged treatment.
Chronic bursitis often occurs after an absence of therapy, incorrectly treated acute process or occurs on a background of long-term vibration or mechanical action on the knee. Different hidden within and manifests itself only during exacerbations. A long process is accompanied by formation of large amounts of exudate in the joint, which leads to the formation of cysts of various locations. Treatment in this case can take considerably longer. It does not exclude the need for puncture of joint to remove fluid and wash the joint capsule antibacterial agents.
Suprapatellar bursitis of the knee (knee bursitis, or "nun's knee") is an inflammation in the knee joint capsule. The latter name is due to the fact that the services of the monks involve prolonged kneeling. This type of bursitis can result from excessive physical exertion. A characteristic symptom is the presence of the tumor in the zone of periarticular soft-elastic consistency. Therefore, the treatment of this disease should be comprehensive.
When prepatellar bursitis bag is superficial, in the knee area. Inflammation it appears as a response to prolonged effect of the joint. The cause of this pathology and further challenges in the treatment can be any trauma to the kneecap, accompanied by damage to the joint capsule and hemorrhage. Superficial location, palpation to identify the liquid contents or a certain "roughness", indicating that the presence of folds on the walls of the bursae. The defeat of this localization is manifested severe pain when you try to kneel that helps in the diagnosis and treatment purposes.
When the infrapatellar inflammatory process is next to the major tendon under the kneecap. Occurs when an injury after the jump, more often in athletes who are professionally engaged in the jumping. Pathology arises as a result of the strong pressure on the bag, there is hemorrhage, and subsequently developed inflammation. The treatment of this disease must be timely to avoid purulent complications.
Purulent bursitis captures one or several synovial bursae and accompanied by purulent infection. Infection occurs directly at the time of injury or as a result of infection. The pathogen may be Staphylococcus or Streptococcus. This pathology occurs mainly as a complication from undertreated serous bursitis. Purulent fusionmay affect all tissues of the joint and lead to a breakthrough pus out, which significantly lengthens the period of treatment and recovery.
How to cure the disease?
The Difficulty in diagnosis, delays in seeking care result from a variety of complications that affect quality of life. The result of treatment depends on the stage of the disease. You need to completely eliminate any load on the joint.
In the initial stages should be treated by hot compresses and use of a pressure bandage to the joint.
To reduce swelling of the injured limb should be placed on the dais.
Other steps In the appropriate complex therapy, including antibacterial drugs, vitamin complexes. If you have a large amount of exudate recommended needle destruction and medicinal treatment of the joint cavity. Excessive deposition of calcium salts amenable to laser or ultrasound therapy. The detection of pus in the joint capsule leaves no choice and involves the opening of the last and proper sanitation. Cure in this case would be long, and the rehabilitation period runs for up to 1 year.