Knee effusion: Difference between revisions
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{{Infobox medical condition | |||
| name = Knee effusion | |||
| image = [[File:Kneeffusion.JPG|left|thumb|Knee effusion]] | |||
| caption = A knee with effusion | |||
| synonyms = Water on the knee | |||
| field = [[Rheumatology]], [[Orthopedics]] | |||
| symptoms = Swelling, pain, stiffness | |||
| complications = [[Joint damage]], [[Infection]] | |||
| onset = Sudden or gradual | |||
| duration = Varies | |||
| causes = [[Injury]], [[Arthritis]], [[Infection]], [[Gout]] | |||
| risks = [[Obesity]], [[Previous knee injury]], [[Repetitive stress]] | |||
| diagnosis = [[Physical examination]], [[Ultrasound]], [[MRI]] | |||
| differential = [[Bursitis]], [[Tendonitis]], [[Ligament injury]] | |||
| treatment = [[Rest]], [[Ice]], [[Compression]], [[Elevation]], [[NSAIDs]], [[Aspiration]] | |||
| medication = [[NSAIDs]], [[Corticosteroids]] | |||
| prognosis = Good with treatment | |||
| frequency = Common | |||
}} | |||
[[File:Knee_effusion,_annotated.jpg|Knee effusion, annotated|thumb|left]] | |||
'''Knee effusion''', commonly referred to as "water on the knee," is a medical condition characterized by the accumulation of excess fluid in or around the knee joint. This condition can result from various causes, including injury, overuse, underlying disease, or infection. Knee effusion can lead to pain, swelling, and reduced mobility, significantly impacting an individual's quality of life. | '''Knee effusion''', commonly referred to as "water on the knee," is a medical condition characterized by the accumulation of excess fluid in or around the knee joint. This condition can result from various causes, including injury, overuse, underlying disease, or infection. Knee effusion can lead to pain, swelling, and reduced mobility, significantly impacting an individual's quality of life. | ||
==Causes== | ==Causes== | ||
Knee effusion can be caused by a variety of factors, which are generally categorized into traumatic, non-traumatic, and infectious origins. | Knee effusion can be caused by a variety of factors, which are generally categorized into traumatic, non-traumatic, and infectious origins. | ||
* '''Traumatic causes''': These include injuries such as [[ligament tear|ligament tears]], [[bone fracture|bone fractures]], and [[meniscus tear|meniscus tears]]. Trauma to the knee can lead to bleeding in the joint, resulting in a hemarthrosis (blood effusion). | * '''Traumatic causes''': These include injuries such as [[ligament tear|ligament tears]], [[bone fracture|bone fractures]], and [[meniscus tear|meniscus tears]]. Trauma to the knee can lead to bleeding in the joint, resulting in a hemarthrosis (blood effusion). | ||
* '''Non-traumatic causes''': These are often related to medical conditions such as [[osteoarthritis]], [[rheumatoid arthritis]], and [[gout]]. These conditions can cause an increase in the production of joint fluid or synovial fluid, leading to effusion. | * '''Non-traumatic causes''': These are often related to medical conditions such as [[osteoarthritis]], [[rheumatoid arthritis]], and [[gout]]. These conditions can cause an increase in the production of joint fluid or synovial fluid, leading to effusion. | ||
* '''Infectious causes''': Infections such as [[septic arthritis]] can lead to knee effusion. This is a more severe cause and requires immediate medical attention. | * '''Infectious causes''': Infections such as [[septic arthritis]] can lead to knee effusion. This is a more severe cause and requires immediate medical attention. | ||
==Symptoms== | ==Symptoms== | ||
The primary symptom of knee effusion is swelling of the knee. Other symptoms may include: | The primary symptom of knee effusion is swelling of the knee. Other symptoms may include: | ||
| Line 14: | Line 32: | ||
* Warmth and redness around the knee area | * Warmth and redness around the knee area | ||
* Difficulty bearing weight on the affected leg | * Difficulty bearing weight on the affected leg | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of knee effusion typically involves a combination of medical history review, physical examination, and imaging tests. During the physical examination, a healthcare provider may perform the [[bulge sign]] test or the [[balloon sign]] test to detect fluid in the knee joint. Imaging tests such as [[X-ray]], [[MRI]], and [[ultrasound]] can help determine the cause of the effusion and assess the extent of the condition. | Diagnosis of knee effusion typically involves a combination of medical history review, physical examination, and imaging tests. During the physical examination, a healthcare provider may perform the [[bulge sign]] test or the [[balloon sign]] test to detect fluid in the knee joint. Imaging tests such as [[X-ray]], [[MRI]], and [[ultrasound]] can help determine the cause of the effusion and assess the extent of the condition. | ||
==Treatment== | ==Treatment== | ||
Treatment for knee effusion depends on the underlying cause. General treatment options include: | Treatment for knee effusion depends on the underlying cause. General treatment options include: | ||
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* Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief | * Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief | ||
* [[Physical therapy]] to strengthen the muscles around the knee and improve mobility | * [[Physical therapy]] to strengthen the muscles around the knee and improve mobility | ||
In cases where the effusion is caused by infection or a significant amount of fluid is present, more invasive treatments may be necessary, such as: | In cases where the effusion is caused by infection or a significant amount of fluid is present, more invasive treatments may be necessary, such as: | ||
* Aspiration, which involves removing the fluid from the knee joint with a needle | * Aspiration, which involves removing the fluid from the knee joint with a needle | ||
* Antibiotics for infections | * Antibiotics for infections | ||
* Surgery to repair any underlying damage or to remove inflamed synovial tissue | * Surgery to repair any underlying damage or to remove inflamed synovial tissue | ||
==Prevention== | ==Prevention== | ||
Preventing knee effusion involves maintaining healthy joint function and avoiding injury. Recommendations include: | Preventing knee effusion involves maintaining healthy joint function and avoiding injury. Recommendations include: | ||
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* Using proper techniques during physical activities to avoid knee injury | * Using proper techniques during physical activities to avoid knee injury | ||
* Wearing appropriate footwear for activities | * Wearing appropriate footwear for activities | ||
==See Also== | ==See Also== | ||
* [[Arthritis]] | * [[Arthritis]] | ||
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* [[Synovitis]] | * [[Synovitis]] | ||
* [[Knee osteoarthritis]] | * [[Knee osteoarthritis]] | ||
[[Category:Orthopedic surgery]] | [[Category:Orthopedic surgery]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Sports medicine]] | [[Category:Sports medicine]] | ||
{{medicine-stub}} | {{medicine-stub}} | ||
Latest revision as of 04:04, 9 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Knee effusion | |
|---|---|
| Synonyms | Water on the knee |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Swelling, pain, stiffness |
| Complications | Joint damage, Infection |
| Onset | Sudden or gradual |
| Duration | Varies |
| Types | N/A |
| Causes | Injury, Arthritis, Infection, Gout |
| Risks | Obesity, Previous knee injury, Repetitive stress |
| Diagnosis | Physical examination, Ultrasound, MRI |
| Differential diagnosis | Bursitis, Tendonitis, Ligament injury |
| Prevention | N/A |
| Treatment | Rest, Ice, Compression, Elevation, NSAIDs, Aspiration |
| Medication | NSAIDs, Corticosteroids |
| Prognosis | Good with treatment |
| Frequency | Common |
| Deaths | N/A |

Knee effusion, commonly referred to as "water on the knee," is a medical condition characterized by the accumulation of excess fluid in or around the knee joint. This condition can result from various causes, including injury, overuse, underlying disease, or infection. Knee effusion can lead to pain, swelling, and reduced mobility, significantly impacting an individual's quality of life.
Causes[edit]
Knee effusion can be caused by a variety of factors, which are generally categorized into traumatic, non-traumatic, and infectious origins.
- Traumatic causes: These include injuries such as ligament tears, bone fractures, and meniscus tears. Trauma to the knee can lead to bleeding in the joint, resulting in a hemarthrosis (blood effusion).
- Non-traumatic causes: These are often related to medical conditions such as osteoarthritis, rheumatoid arthritis, and gout. These conditions can cause an increase in the production of joint fluid or synovial fluid, leading to effusion.
- Infectious causes: Infections such as septic arthritis can lead to knee effusion. This is a more severe cause and requires immediate medical attention.
Symptoms[edit]
The primary symptom of knee effusion is swelling of the knee. Other symptoms may include:
- Pain in the knee
- Stiffness and reduced mobility
- Warmth and redness around the knee area
- Difficulty bearing weight on the affected leg
Diagnosis[edit]
Diagnosis of knee effusion typically involves a combination of medical history review, physical examination, and imaging tests. During the physical examination, a healthcare provider may perform the bulge sign test or the balloon sign test to detect fluid in the knee joint. Imaging tests such as X-ray, MRI, and ultrasound can help determine the cause of the effusion and assess the extent of the condition.
Treatment[edit]
Treatment for knee effusion depends on the underlying cause. General treatment options include:
- Rest and avoidance of activities that exacerbate the condition
- Application of ice to reduce swelling
- Compression with a knee wrap or brace
- Elevation of the leg to decrease swelling
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief
- Physical therapy to strengthen the muscles around the knee and improve mobility
In cases where the effusion is caused by infection or a significant amount of fluid is present, more invasive treatments may be necessary, such as:
- Aspiration, which involves removing the fluid from the knee joint with a needle
- Antibiotics for infections
- Surgery to repair any underlying damage or to remove inflamed synovial tissue
Prevention[edit]
Preventing knee effusion involves maintaining healthy joint function and avoiding injury. Recommendations include:
- Regular exercise to strengthen the muscles around the knee
- Maintaining a healthy weight to reduce stress on the knees
- Using proper techniques during physical activities to avoid knee injury
- Wearing appropriate footwear for activities
See Also[edit]
