Have the patient lie prone on the examining table with his knees flexed 90 degrees so the soles of his feet are parallel to the ceiling. With your hands on the foot or heel, press down firmly on the lower limb as you rotate it back and forth thus applying a compressive grinding force to the knee. Bursitis in the region of the knee. The superficial infrapatellar bursa lies superficial to the patellar tendon and so is located distal to the inferior border of the patella and proximal to the tibial tuberosity. Another bursa called the deep infrapatellar bursa is located in the same general region as the superficial infrapatellar bursa but lies deep to the patellar tendon.
Most cases are traumatic from too much scrubbing of kitchen floors or too much praying.
Since both praying and scrubbing of kitchen floors are less fashionable now than they were in years past, we may soon find that the incidence of this disorder is declining. Patients usually present because they have noticed a swelling over their knee cap. Kneeling may be painful. There is no redness and either no warmth or only minimal warmth. The concavities on either side of the patella remain visible.