06/01/2026
15 years in practice and every now and then a case makes you stop and go… whoa.
This is a prepatellar bursa. It sits over your kneecap and cushions the front of your knee. Most of the time you never think about it.
Until it looks like this.
This patient couldn’t kneel, couldn’t move comfortably, couldn’t even roll over in bed. When it gets to that point, we take it out. Full bursectomy. Clean removal.
And yes, that specimen is the size of my fist.
A note on steroid injections: I’m cautious. If there’s any bacteria in that fluid and you inject steroid, you can turn an annoyance into a serious systemic infection fast. I’ve seen it. So I’m selective about when I go that route.
Happy to report this patient is back to projects around the house, sports, and life without an extra passenger on their knee. 🙌
Learn more about the conditions I treat at F2ortho.com