Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector64410.17816/psaic644Research ArticleSuprapatellar bursitis in a newbornErenkovIIya O.<p>Cand. Sci. (Med.), pediatric surgeon, of child health center</p>erenkov_i@mail.ruhttps://orcid.org/0000-0002-4911-6624DenisovIvan S.<p>MD, roentgenologist, out-patient clinic</p>denisov.ivan92@gmail.comhttps://orcid.org/0000-0002-3796-9072ZarubinaSvetlana A.<p>MD, sonographer, child health center</p>szarubina0812@gmail.comhttps://orcid.org/0000-0002-9044-81459 Clinical Diagnostic Center Ministry of Defence of the Russian Federation111220201021992022607202013112020Copyright © 2021, Erenkov I.O., Denisov I.S., Zarubina S.A.2021<p><strong>Introduction.</strong> One of the most frequent pathologies in childhood is bursitis of the knee joint. Such conditions may occur in infectious pathologies, traumatic disorders, overuse syndromes, and other various pathologies. Diagnostic and treatment strategies depend on the cause of bursitis development. Particular attention should be paid to bursitis cases in newborns since the frequency of such pathologies is casuistic and clinical guidelines for treating patients in this age group are absent.</p>
<p><strong>Materials and methods.</strong> A 26-day-old newborn arrived for consultation with complaints of knee joint pain and movement restrictions for four days. From five to 21 days of life, she has had in-patient treatment at another clinic because of pneumonia and a urinary tract infection. Intravenous and intramuscular injections of antibacterial drugs were prescribed for two weeks. The condition of the newborn was satisfactory upon consultation in our clinic. Her physical examination showed swelling and muscle tightness on the distal part of the thigh. The range of motion of the shinbone was restricted. Her blood test showed that her white cell count was unchanged. According to an X-ray examination of the knee, no pathology was detected. According to the US-examination, exudative suprapatellar bursitis was detected. The nonsteroidal anti-inflammatory drug, Nimesulid, was prescribed for seven days.</p>
<p><strong>Results. </strong>Daily remote monitoring of the patient's well-being during treatment was performed. Movement restrictions reduced the swelling on day 3 of treatment. A follow-up blood test on day 4 of treatment showed no pathology. According to the follow-up US-examination after six days of drug therapy, no signs of bursitis were detected.</p>
<p><strong>Conclusion.</strong> Inflammation of the suprapatellar bursa is a rare condition in newborns. In isolated cases of bursitis in children during the first year of life, a bacterial presence was noted, with the predominance of staphylococcal and streptococcal floras. However, in our opinion, there is a possibility of developing aseptic forms of bursitis in infants. In these cases, it may be prudent to refrain from prescribing courses of antibiotic therapy.</p>bursitissuprapatellar bursitisinfantnewbornbursa synovialcase reportNSAIDsinflammationбурситсупрапателлярный бурситноворожденныйнеонатальный периодклинический случайнестероидные противовоспалительные средстваНПВСвоспаление[Малахов Н.Б., Пыков М.И., Чочиев Г.М. Ультразвуковая диагностика бурситов у детей // Ультразвуковая и функциональная диагностика. — 2003. — № 3. — С. 109–118. [Malakhov NB, Pykov MI, Chochiev GM. Ul’trazvukovaya diagnostika bursitov u detej. Ultrasound and functional diagnostic. 2003;(3):109-118. (In Russ)]][Sakamoto A, Matsuda S. Pes anserinus syndrome caused by osteochondroma in paediatrics: a case series study. The Open Orthopaedic Journal 2017;11:397-403. DOI: https://doi.org/10.2174/1874325001711010397.][Deftereos SP, Michailidou E, Karagiannakis GK, et al. Hematogenous infantile infection presenting as osteomyelitis and septic arthritis: a case report. Cases J. 2009;2:8293. DOI: https://doi.org/10.4076/1757-1626-2-8293.][Iguchi A, Aoki Y, Kitazawa K. Prepatellar septic bursitis in an 8-year-old boy. BMJ Case Rep. 2019;12(1):e228564. DOI: https://doi.org/10.1136/bcr-2018-228564.][Pitts CC, Smith WR, Conklin MJ. Pediatric infections prepatellar bursitis with Kingella kingae. Case Rep Orthopedic. 2020;6586517. DOI: https://doi.org/10/1155/2020/6586517.][Choi H-R. Patellar osteomyelitis presenting as prepatellar bursitis. Knee. 2007;14(4):333-335. DOI: https://doi.org/10.1016/j.knee.2007.04.010.][grls.rosminzdrav.ru/Default.aspx [интернет]. Государственный реестр лекарственных средств [дата обращения 27.05.2020]. Доступ по ссылке: https://grls.rosminzdrav.ru/Default.aspx. [grls.rosminzdrav.ru/Default.aspx. Gosudarstvennyj reestr lekarstvennyh sredstv. [cited 27 may 2020]. Available from: https://grls.rosminzdrav.ru/Default.aspx].][Meyers S, Lenon W, Shannon K. Suppurative bursitis in early childhood. Pediatr Infect Dis J. 1984;3(2):156-158. DOI: 10.1097/00006454-198403000-00020.][Brian MJ, O’Ryan M, Waagner D. Prepatellar bursitis in an infant caused by group B Streptococcus. Pediatr Infect Dis J. 1992;11(6):502-503. DOI: 10.1097/00006454-199206000-00020.][Amuchou SA, Mukhopadhyay K, Narang A. Supra-patellar bursitis in a Neonate. Indian J Pediatr. 2002;69(1):113-114. DOI: 10.1007/BF02723792.][Zidorn T, Tillmann B. Morphological variants of the suprapatellar bursa. Ann. Anat. 1992;174(2):287-291. DOI: https://doi.org/10.1016/s0940-9602(11)80284-0.][Grob K, Gilbey H, Manestar M, et al. The Anatomy of the Articularis Genus Muscle and Its Relation to the Extensor Apparatus of the Knee. JBJS Open Access. 2017;2(4):e0034. DOI: https://doi.org/10.2106/JBJS.OA.17.00034.]