What is Suprapatellar Joint Effusion|Causes|Symptoms|Treatment|Diagnosis (2022)

What is Suprapatellar Joint Effusion?

Suprapatellar joint effusion is painful and usually affects knee joint movement. Knee effusion is also commonly termed as water on the knee. Suprapatellar joint effusion is the accumulation of fluid in the suprapatellar or the upper region of the knee joint.1 Suprapatellar joint effusion is one of the commonest causes of knee joint pain and must be treated to prevent further complications.

Suprapatellar joint effusion, in which the knee swells up due to fluid accumulation in the suprapatellar region. While some fluid is present in the knee joint for normal lubrication, excess accumulation of fluid can be a problem. Hence, it is important to know the causes of suprapatellar joint effusion and treat accordingly. Knowing the symptoms of suprapatellar joint effusion can help in seeking timely medical advice.

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What is Suprapatellar Joint Effusion|Causes|Symptoms|Treatment|Diagnosis (1)

Causes of Suprapatellar Joint Effusion

Suprapatellar joint effusion can be a result of various conditions ranging from injuries, infections to joint problems and other medical conditions.

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(Video) Suprapatellar Joint Effusion of the Knee

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Some of the commonest causes of suprapatellar joint effusion include the following.

Injuries – Injuries are one of the most important causes of suprapatellar joint effusion or knee swelling. Meniscus injury or cartilage tear, ligament injury of the knee joint are some of the commonest knee injuries. Fractures, overuse injuries or repetitive stress injuries are one of the other causes of suprapatellar joint effusion.

Joint Conditions – Conditions like arthritis, which cause wear and tear of the joint, result in loss of cartilage. For example, osteoarthritis, which is a degenerative condition, is one of the other common causes of suprapatellar joint effusion. In this, the knee symptoms may be present to some extent in both the knees, however, suprapatellar effusion may be prominently noted in any one knee. Inflammatory conditions like rheumatoid arthritis, too are one of the major causes of suprapatellar joint effusion. In rheumatoid arthritis, knee swelling is often seen on both sides and small joints of hands are more affected. Other autoimmune disorders like lupus too can severely affect the knee joint. Joint conditions like gout and pseudo gout, prepatellar bursitis, can also cause suprapatellar joint effusion.

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Infections – Infections are other major causes of suprapatellar joint effusion. Sudden, large suprapatellar joint effusion, on one side with fever usually arises the suspicion of infectious causes; infective or septic arthritis being the commonest. Other infections that affect the bones and joint must also be evaluated. Tuberculosis, primarily an infection of the lung or other bacterial infections too can cause suprapatellar joint effusion.

(Video) Joint effusions

Other Conditions – Inflammatory conditions too can affect the knee joint and cause suprapatellar joint effusion. Cysts, tumors or cancers of the bone or cancer spread from other areas are also some of the causes of suprapatellar joint effusion. Lyme disease or some rare diseases can also cause suprapatellar joint effusion.
While water on knee can be seen in anyone, certain risk factors of suprapatellar joint effusion include

Aging – Aging causes degenerative changes, weakening of muscles and increases the risk of joint problems.

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Being Overweight – As knee is a weight bearing joint, people who are overweight or obese can experience pain and swelling in knee. If there are any existing causes of suprapatellar joint effusion, like osteoarthritis, rheumatoid arthritis or any other joint conditions, increase in weight can add to the problems.

Injuries – People who have experienced knee injuries in the past may have weak joint and muscles, which increase the risk of suprapatellar joint effusion. Meniscus and ligament injuries can cause rapid degenerative changes and cause suprapatellar joint effusion. Improperly healed fractures, repeated or overuse injuries can cause more problems.

Work – Certain occupations require overuse of knees with bending, kneeling and bearing more weight on the knees. This can increase the risk of bursitis, weakening of knee joint and suprapatellar joint effusion in some people.

Symptoms of Suprapatellar Joint Effusion

Suprapatellar joint effusion is a symptom of an underlying condition. However, some of the complaints associated with it can be considered as symptoms of suprapatellar joint effusion. It is important to know these to be able to seek timely medical advice.

Some of the symptoms of suprapatellar joint effusion include:

(Video) Knee Joint Line Effusion Special Test

Stiffness – Stiffness is more prominently noted during knee movement. Suprapatellar joint effusion makes it difficult to bend or straighten the knee joint completely. It brings a feeling as if the knee is stiff and unable to move.

Swelling – Normal fluid in the knee joint is not visible, but when there is water on the knee, it just swells up. Visible puffiness or swelling of the knee joint is one of the most characteristic symptoms of suprapatellar joint effusion.

Pain – Pain is usually severe when suprapatellar joint effusion is sudden or due to injuries. It may be mild or dull aching in chronic conditions, but some acute exacerbations can cause severe pain too. The degree of pain may depend on the cause and severity of the condition.

Restricted Movement – In suprapatellar joint effusion, it is difficult to move the knee joint and standing or walking may not be possible in severe cases. When tried to bear weight, the knee may give out, as if there is no strength.

In case of some acute injuries, there can be extreme stiffness and slightest movement can bring on pain. Injuries may also be present with a history of trauma and bruising around the injured area. In degenerative changes, clicking or ticking sound may be heard on knee movement with some pain. When suprapatellar joint effusion is caused due to inflammation or infection, fever, warmth of knee joint and redness may be noted. However, mild rise of temperature can be seen in mild inflammation, but high fever with suprapatellar joint effusion may be due to infectious causes.

Diagnosis of Suprapatellar Joint Effusion

A careful history and clinical examination often gives an idea of suprapatellar joint effusion. However, certain investigations may be ordered for diagnosis of suprapatellar joint effusion. It helps to find the exact nature of injury and to rule out complications in cases of injuries. While in other cases, investigations help to detect presence of inflammation, infection and the severity and extent of suprapatellar joint effusion.

Diagnosis of suprapatellar joint effusion is based on the following tests.

  • Blood tests to detect inflammation, infections, autoimmune conditions and risk of gout, or other joint conditions.
  • X-rays to detect bony deformities, to assess fractures, joint degenerative changes
  • MRI and CT scans may be ordered to determine injuries, joint problems or other medical conditions causing suprapatellar joint effusion.

Joint fluid aspiration may be done in severe cases to confirm the diagnosis of suprapatellar joint effusion and detect the underlying cause. In this, a small amount of fluid in the knee is aspirated with a long needle by locally numbing the area. The aspirated fluid is sent for laboratory analysis, to detect the presence of inflammatory cells, bacteria, pus cells, blood cells, crystals, glucose or protein. Based on the results, the exact cause of knee swelling can be confirmed and treatment can be planned accordingly.

Treatment of Suprapatellar Joint Effusion

Treatment of suprapatellar joint effusion should begin when first noted and evaluated by the physician. R.I.C.E (Rest, Ice, Compression and Elevation) formula is generally applied as first response, with medical advice.

Medical Management – Some of the medications used to treat suprapatellar joint effusion include anti-inflammatory medicines for pain and anti-biotics if infection is suspected. Steroids medications may be given orally in some cases. Knee braces may be advised for some period to support the knee joint and prevent further damage. Calcium and vitamin D supplements may be considered for long term management, if necessary.

Joint Aspiration – Joint aspiration provides some relief, as it removes some accumulated fluid, hence it relieves pain and stiffness of the joint. Steroid injections may be given after fluid aspiration, in some, to offer immediate relief. The tests results are awaited, based on which further treatment is given. Depending on the results, appropriate medicines are given and further treatment plan is decided.

Surgical Treatment – Some cases of suprapatellar joint effusion or correction of injuries may need arthroscopy as a part of treatment. In this, a scope with a camera is inserted into the joint to view the area and repair the damage. In advanced cases, conditions that do not improve, severe degenerative changes and in repeated knee swelling, knee replacement surgery may be advised as a treatment of suprapatellar joint effusion.

(Video) Knee effusion

Physical Therapy

Physical therapy is an important part of treatment of suprapatellar joint effusion, however, it must be done, as advised by the treating physician. Physical therapy includes the use of treatment modalities to provide relief from knee pain, swelling and aims at improving joint function and mobility. It also includes strength building and flexibility exercises, to improve knee joint. When performed regularly, as advised, these can help build the knee muscles and prevent recurrent swelling and pain.

Self-care

As the knee recovers with appropriate treatment and exercises, self-care measures to manage the condition are equally important.

Have a healthy diet with essential nutrients and drink plenty of water to stay hydrated. A diet rich in protein, calcium and whole grains can help. Maintain a healthy weight, as weight increases the trouble. Even slightest weight reduction can have great effects on knee pain and swelling.

Therapeutic exercises of the knee help keep the knee strong and prevent injuries. These are best done as advised by the physical therapist or treating doctor. Regular exercises can help keep the body fit and supple. Low impact exercises like walking, swimming or aqua aerobics can help build strong knees without putting pressure on them. Wear sport shoes that protect the feet and knees from high impact.

Those involved in sports must do a proper warm up before play and cool down or stretch after sports activities to avoid injuries. It is important to maintain a balance of activities and take rest, when needed, without overusing the knee joint. Apply ice to the knee joint after strenuous activities or sports, it can keep suprapatellar joint effusion in control. Elevate your legs and knees, if there is pain or mild swelling. Seek medical advice in case of injury or if you note symptoms of suprapatellar joint effusion, for timely treatment.

References:

Also Read:

  • Knee Synovitis: Causes, Symptoms, Treatment, PVNS of Knee
  • Water On The Knee Or Knee Effusion: Causes, Risk Factors, Symptoms, Diagnosis, Treatment, Home Remedies, Prevention
  • What Can Cause Soft Tissue Swelling and How is it Treated?

FAQs

What causes Suprapatellar effusion? ›

What causes Suprapatellar effusion?

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What is Suprapatellar Joint Effusion?Suprapatellar joint effusion is painful and usually affects knee joint movement. Knee effusion is also commonly termed as water on the knee. Suprapatellar joint effusion is the accumulation of fluid in the suprapatellar or the upper region of the knee joint.1 Sup...

Suprapatellar joint effusion is painful and usually affects knee joint movement.. Suprapatellar joint effusion is the accumulation of fluid in the suprapatellar or the upper region of the knee joint.. Other Conditions – Inflammatory conditions too can affect the knee joint and cause suprapatellar joint effusion.. Lyme disease or some rare diseases can also cause suprapatellar joint effusion.While water on knee can be seen in anyone, certain risk factors of suprapatellar joint effusion include. Injuries – People who have experienced knee injuries in the past may have weak joint and muscles, which increase the risk of suprapatellar joint effusion.. X-rays to detect bony deformities, to assess fractures, joint degenerative changes MRI and CT scans may be ordered to determine injuries, joint problems or other medical conditions causing suprapatellar joint effusion.

Suprapatellar Bursitis, also known as suprapatellar synovitis, popliteal cyst suprapatellar recess, or suprapatellar pouch, is a painful condition that occurs when the fluid within the joint becomes infected.This article will explore how to treat a p

Suprapatellar Bursitis, also known as suprapatellar synovitis, popliteal cyst suprapatellar recess , or suprapatellar pouch, is a painful condition that occurs when the fluid within the joint becomes infected.. The term “suprapatellar” refers to the area of the knee located above (supra) and in front of (patella) the patella.. The suprapatellar joint is the knee’s most distal synovial articulation.. Suprapatellar pouch treatments may include draining the excess fluid, injecting medication into the area, or performing a needle aspiration to remove accumulated fluids.. A needle is inserted into the suprapatellar pouch through an incision behind the knee, and a syringe plunger is used to aspirate any fluids accumulated inside it.. Synovial fluid may be injected into the suprapatellar pouch to reduce swelling and provide pain relief from other symptoms of joint effusion, such as flu-like sensations or shooting pains in the back of the knee cap.. It is often found in people who have synovial fluid build-up in their suprapatellar pouch from kneeling for prolonged periods.. Symptoms: pain, tenderness over the iliotibial band or at bony prominence on the lateral side of knee joint/patella; a restricted range of motion in knee joint flexion.. Treatment: initially rest from aggravating activities; ice to reduce swelling, then heat for chronic pain relief; strapping over the affected area for support during training; stretching exercises for muscles on the lateral side of lower leg/knee joint (including quadriceps muscle) to relieve tensing around knee joint capsule.. Suprapatellar fat pad impingement is when the fatty tissue around the knee area, called suprapatellar fat pad, gets trapped between two contact points at or near this joint.. Treatment: Reduce weight if overweight or obese; Wear shoes with a low-rise heel for flat feet; Lose excess weight by dieting and exercising more – including walking on an incline treadmill machine; by running shoe inserts, etc.. The suprapatellar reflex is palpable at the front of the knee when a sharp tap on the patella tendon causes an involuntary contraction and flexion of this muscle.

Joint effusion is when your knee or other joint swells because of excess fluid. You might have a swollen joint because of an injury, arthritis or other condition.

A swollen synovial bursa inside a knee joint Joint effusion (a swollen joint) happens when extra fluids flood the tissues around your joint.. Joint effusion is when fluids enter one or more of these tissues.. But, if there are more fluids than usual in your joint, you have effusion (a swollen knee joint).. Other symptoms that often go along with a swollen joint include:. This is when you use a joint too much.. A ligament injury or a broken bone ( bone fracture ) are examples of trauma that can lead to swelling.. Tests could reveal bacteria, proteins, certain blood cells, glucose or other indications of various conditions.. Contact your healthcare provider when you need treatment for a swollen joint.. A joint effusion with a fever.. Joint effusion plus a fever might mean that you have an infection in your joint (septic arthritis).. Swelling around your joint (joint effusion).. Pain sometimes goes along with a joint effusion (swollen joint).. Joint effusion is where the fluids in the tissues around your joint increase causing your knee, shoulder, ankle or other joint swells up.

Suprapatellar bursitis is when your suprapatellar bursa becomes inflamed. Your suprapatellar bursa can be found just above your knee. Most cases will resolve over several weeks with conservative treatment. We'll discuss causes, symptoms, prevention exercises, and more.

Suprapatellar bursitis is when your suprapatellar bursa becomes inflamed.. If you’ve developed suprapatellar bursitis, you may experience the following symptoms just above your knee joint:. Treatment of suprapatellar bursitis can include:. resting and avoiding activities that could irritate the area, such as kneeling, jumping, or running taking over-the-counter (OTC) pain medication such as ibuprofen (Motrin, Advil) and acetaminophen (Tylenol) to help relieve pain and swelling applying an ice pack to the area to ease swelling (remember to never apply an ice pack directly to your skin — wrap it in a towel or cloth first) using a knee brace to stabilize and limit movement of the area taking a course of antibiotics if an infection is present (be sure to take the entire course, even if you begin to feel better). Severe or recurring cases of bursitis may also be treated through drainage or surgical removal of the suprapatellar bursa.. Example stretches and exercises include:. Additionally, you can follow the guidelines below to help prevent suprapatellar bursitis:. Additionally, you should talk to your doctor about gentle exercises to maintain strength and flexibility and help to reduce stress to your knee during recovery.. Talk to your doctor about any new knee pain you’re having.

Are you suffering from Joint effusion & its getting really hard to tackle the pain? Read about joint effusion, its causes, symptoms, treatment and more.

Joint Effusion is more commonly known as “Water on the Knee” as it mostly affects knee joints.. Vital 3 is a natural joint supplement that is sold and marketed to promote healthy joint muscles and at the same time to promote joint comfort and improve joint lubrication.. However Joint Effusion is when there is too much fluid building up in the joints.. If Joint Effusion is left untreated, in severe cases you could contract an infection in the joints.. Anyone can put their knee joint under stress and cause Joint Effusion.

Joint effusion is a condition in which there is excess fluid in or around the joint, usually the knee. Commonly known as knee water or knee fluid, it is most often caused by infection, injury, or arthritis. Not only does excess fluid cause swelling, it can also cause pain and stiffness. The effusion usually affects ..Read more

Joint effusion is a condition in which there is excess fluid in or around the joint, usually the knee.. Commonly known as knee water or knee fluid, it is most often caused by infection, injury, or arthritis.. Septic arthritis is most commonly caused by an infection in the joint.. An infection in the bloodstream, also called a systemic infection, can invade the joint and cause swelling and excess fluid.. Symptoms caused by an infection are usually rapid and severe.. Sports injuries are a common cause of joint effusion, especially the knee.. Gout symptoms can be severe and start quickly, which can lead to excessive fluid secretion around the joint.. Joint effusion can be caused by arthritis, injury, or even infection.. Your healthcare provider will carefully examine your joint.. The tests may include:. If your swelling is particularly severe, your healthcare provider may drain fluid as part of your treatment.. It can quickly reduce pain and inflammation, especially if there is severe injury or joint damage as a result of arthritis.. If you feel pain in your knees, hips, or ankles, avoid strenuous activities like weight lifting or deep squats.. Joint effusion can be the result of injury, infection, or various types of arthritis.

Knee Effusion, commonly known as “water on the knee”, occurs when excess fluid accumulates in and around your knee joint.

Other causes include injury to the cartilage, inflammatory arthritis such as gout or rheumatoid arthritis, and infection of the joint.. 3.Stiffness When the knee joint contains excess fluid, it may become difficult or painful to bend or straighten.. The test can be false positive, therefore we must always test both sides to compare.. After aspirating joint fluid, your doctor might inject a corticosteroid into the joint to treat inflammation.. Straight leg raise exercise

What is the supracatellar bursitis of the knee joint? Symptoms and treatment, as well as the main reasons for the development of this pathology will be discussed below. Also you will learn about the peculiarities of this disease and its diagnosis.

In modern medicine, bursitis is an inflammatory disease that develops in the mucous membranes of the articular bag and forms an effusion.. If the synovial cavity inflamed above the joint, then the so-called suprapatellar bursitis of the knee joint is formed.. Suprapatellar bursitis of the knee joint is a rather frequent disease.. For acute bursitis, classical symptoms are characteristic, which include hyperemia, severe pain and swelling.. Thus, to diagnose supratellar bursitis of the knee joint (only an experienced specialist should treat this disease) is not difficult, especially in an acute clinic.. How does the chronic supratellar bursitis of the knee joint manifest?. What are the symptoms of bursitis of the knee?. Like any inflammatory disease, such a pathology can occur in acute and chronic form.. Also to the general inflammatory symptoms of bursitis of the knee joint is the increase in the body temperature of the patient and malaise.. First, a specialist should examine the patient.

Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most common traumatic causes of knee effusion are ligamentous, osseous and meniscal injuries, and overuse syndromes. Atraumatic etiologies include arthritis, infection, crystal deposition and tumor. It is essential to compare the affected knee with the unaffected knee. Systematic physical examination of the knee, using specific maneuvers, and the appropriate use of diagnostic imaging studies and arthrocentesis establish the correct diagnosis and treatment.

A history of previous injury and treatment, including surgery, should be determined in every patient who presents with knee swelling.. Historical findings suggestive of fracture include a mechanism of injury involving a high-velocity collision, the occurrence of a “pop” at the time of injury, age greater than 55 years and inability to bear weight immediately after the injury.. Patients with PCL injuries tend to report less instability and swelling than patients with ACL injuries.. Collateral ligament injuries present with effusion or localized swelling.. Lateral collateral ligament injuries result from a medial-to-lateral force on the knee, while medial collateral ligament injuries result from a force in the opposite direction.. Palpation of the knee is best accomplished with the patient supine and the knee flexed to 90 degrees to enhance patient relaxation.. Physical findings of a PCL injury include effusion, positive posterior drawer and tibial sag tests, and abrasions or ecchymosis over the proximal anterior tibia.. Radiographs should be obtained in patients with suspected ACL injuries to rule out associated intra-articular fractures and possibly determine the presence of a marginal avulsion fracture off the lateral tibial plateau (Segond fracture), which helps confirm the diagnosis.. Traumatic knee injury with immediate effusion indicates severe intra-articular injury, the most common being ACL disruption.

Hip effusion is characterized by an abnormal fluid accumulation in the joint space that leads to swelling and pain of the hip joint.

Hip effusion is characterized by an abnormal fluid accumulation in the joint space that leads to swelling and pain of the hip joint.. Joint effusion is commonly referred to as having water on the joint.. This condition is commonly due to overuse or repetitive movements of muscles and tissues involved in hip joint movements.. A type of arthritic joint disease that is caused by the breakdown of joint cartilage and the underlying bone.. Infections reaching the hip joint can lead to hip effusion.. It is recommended to seek medical attention right away if you experience painful hip movements, losing the ability to rotate, flex, or extend your hip.. Walking : An exercise that most everyone can do no matter your current activity level.

Knee effusion is a condition where fluid accumulates around the knee joint. This is sometimes referred to as having a swollen knee or having “water on the knee.” Normally, our joints have a small amount of fluid surrounding them called synovial fluid. This helps to reduce friction and promote smooth joint rotation. However, there are ...click here to read more

Knee effusion is a condition where fluid accumulates around the knee joint.. Knee effusions or water on the knee can harm the muscles and various structures of the knee over time.. Knee joint effusions are also associated with an increase in knee cartilage defects and bone marrow lesions, according to recent studies.. All underwent MRI of the right knee and assessment of knee synovial effusion—synovitis to obtain a baseline.. For the most part, regardless of the underlying cause, non-steroidal anti-inflammatory drugs (NSAIDs) will be the most common medication prescribed to reduce swelling and pain associated with knee effusion.. The following are some home remedies for water on the knee or knee effusions that can be done before getting professional medical attention.. Elevate the joint : This can help relieve pressure on your knee joint and return blood to the upper part of the body.. While the above recommendations are considered the initial conservative therapy for knee effusion, once the pain and swelling have gone down, performing strength and balance exercise can help ensure your knee has muscle support to reduce the chances of injury in the future.. The following are some knee joint effusion exercises for injury prevention you can try today.. Depending on the level of inflammation, knee effusion can begin to degrade the knee joint further if not treated in a timely manner.

If you are experiencing swelling, pain, and a sense of warmth around a joint, you may have synovitis. Know the effects and treatment options.

Synovitis affects several joints, mainly the knees, and can lead to limited movement of the affected joint.. This clear, thick synovial fluid of the membrane is found surrounding the joints of the ankles, knees, hips, shoulders, and wrists.. Overworking the joint with repetitive motion An injury to the joint due to an accident or a direct, blunt hit Medical conditions such as gout, lupus, rheumatoid arthritis, and osteoarthritis Infections such as septic arthritis and tuberculosis Allergic reactions. Synovitis in the ankle joint region can be compared to that of synovitis of the hip.. We mentioned that synovitis could sometimes get misdiagnosed, even though the symptoms and close relation to other health condition are what separates it from other joint issues.. In cases of severe pain, immediate relief may be offered with a procedure to drain the synovial fluid from the joint, as is commonly done with synovitis of the knee.. It is also recommended to avoid placing weight on the joint, especially if the synovitis is within the knee, hips, or ankles.. This disorder affects major joints of the shoulder, wrist, hip, knee, and ankle, with the knee being the most affected.. “Synovitis of Knees, Hips, Ankles, Shoulders, Wrists, Jaw Joint,” ePain Assist; https://www.epainassist.com/joint-pain/synovitis-of-knee-hips-ankles-shoulders-wrists-and-jaw-joint , last accessed April 26, 2017.

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