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Prepatellar bursitis in wrestlers.

M C Mysnyk, R R Wroble, D T Foster

    The American Journal of Sports Medicine
    |January 1, 1986
    PubMed
    Summary
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    Prepatellar bursitis is the most common knee injury in university wrestlers, often recurring and leading to significant lost time. Early diagnosis via aspiration is crucial, especially with resistant Staphylococcus aureus infections.

    Area of Science:

    • Sports Medicine
    • Orthopedic Surgery
    • Epidemiology

    Background:

    • Prepatellar bursitis is a frequent knee injury among collegiate wrestlers.
    • This study delves into the specifics of prepatellar bursitis within this athletic population.

    Purpose of the Study:

    • To analyze the incidence, recurrence, and outcomes of prepatellar bursitis in university wrestlers.
    • To highlight the diagnostic challenges and treatment implications, particularly concerning infection.

    Main Methods:

    • Retrospective study of knee injuries in a university wrestling team over six years.
    • In-depth analysis of prepatellar bursitis cases, including recurrences, surgeries, and infectious complications.

    Main Results:

    Related Experiment Videos

  • Prepatellar bursitis accounted for 21% of initial knee injuries, with 8 of 13 affected wrestlers experiencing 20 recurrences.
  • Median time lost for initial injury was 4 days, but recurrences and surgeries increased lost time significantly.
  • Penicillin-resistant Staphylococcus aureus was the common pathogen in septic cases, often presenting without clear clinical signs of infection.

    • Conclusions:

    • Aspiration for Gram's stain and culture is recommended for all prepatellar bursitis cases due to high rates of occult infection.
    • A history of prior bursitis may negatively impact prognosis, suggesting underlying bursal wall pathology.
    • Most cases occurred off-season, often insidiously, though direct impact is a suspected cause.