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Traumatic prepatellar neuralgia
1Department of Orthopaedic Surgery, Harrogate District Hospital, UK.
Injury
|May 1, 1995
Summary
Direct knee trauma can cause delayed diagnosis of patellar pain. Surgical removal of the prepatellar bursa and subcutaneous tissue in the tender area effectively treated knee pain in all patients studied.
Area of Science:
- Orthopedics
- Sports Medicine
- Trauma Surgery
Background:
- Knee pain following direct anterior knee trauma is common.
- Diagnosis can be challenging, often leading to delays.
- A specific tender area on the patella may indicate underlying pathology.
Purpose of the Study:
- To investigate a specific clinical finding in patients with anterior knee trauma.
- To evaluate the efficacy of surgical intervention for this condition.
- To establish a distinct clinico-pathological entity.
Main Methods:
- Study included fourteen patients with painful knees due to direct anterior blow.
- Clinical examination focused on localized tenderness on the patella.
- Surgical treatment involved excision of subcutaneous tissue and prepatellar bursa in 11 patients.
Main Results:
- Delayed diagnosis was frequent in patients presenting with knee pain.
- Marked tenderness localized to the middle of the outer border of the patella was a consistent finding.
- All 11 surgically treated patients experienced complete pain relief.
Conclusions:
- A specific clinico-pathological entity associated with anterior knee trauma exists.
- Surgical excision of the affected bursa and tissue provides a definitive cure.
- Early identification of patellar tenderness is crucial for timely diagnosis and treatment.