Infrapatellar Bursitis Without Septic Bursitis — When Corticosteroid Injection Has Not Resolved Knee Inflammation

This protocol addresses aseptic (non-septic) infrapatellar bursitis in patients for whom a prior corticosteroid injection into the infrapatellar bursa did not achieve resolution of knee inflammation.

Clinical Scenario

The patient has infrapatellar bursitis confirmed to be non-septic in nature. While conservative management is effective for most cases of aseptic bursitis, this pathway applies when that response has not been achieved and escalation is warranted.

Prior Treatment — Insufficient Response

A corticosteroid injection into the infrapatellar bursa was administered with the clinical goal of resolving knee inflammation. That goal was not reached, and this protocol represents the next step in management.

Next-Line Approach

When non-surgical measures have not produced sufficient improvement, a procedural intervention targeting the infrapatellar bursa becomes the next consideration. The full protocol specifies the technique, staging, and decision criteria.

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References

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