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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Big, Hard Lump Below The Knee Cap After A Fall A Cause For Concern?

I tripped over a baby gate about 5 weeks ago and landed on my left knee on a hard laminate floor. Immediately a huge lump rose just below my knee cap. The bruising covered the entire front of my leg from knee to ankle withing 24 hours. I ve had an x-ray which I assume showed nothing as my doctor has not called me back. Now, the bruising is gone but there is still a hard lump about the size of a ping-pong ball below my knee cap. Will it go away on it s own?
Fri, 30 Jan 2015
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Orthopaedic Surgeon 's  Response
Dear patient
As you say your Xray is normal chances of fracture is less likely. Since swelling has occurred after trauma it is mostly infrapatellar effusion. It's a collection below knee cap and filled with fluid. I would advise ultrasound of knee to assess amount of fluid. If mount is more than 25ml it needs aspiration. For aspirations you can consult orthopaedic surgeon nearby you.
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Is A Big, Hard Lump Below The Knee Cap After A Fall A Cause For Concern?

Dear patient As you say your Xray is normal chances of fracture is less likely. Since swelling has occurred after trauma it is mostly infrapatellar effusion. It s a collection below knee cap and filled with fluid. I would advise ultrasound of knee to assess amount of fluid. If mount is more than 25ml it needs aspiration. For aspirations you can consult orthopaedic surgeon nearby you.