The infrapatellar bursa (superficial and deep) lies below the patella between the patellar tendon and the tibial tuberosity, reducing friction during knee movement.
Deep infrapatellar bursitis produces anterior knee pain beneath the patellar tendon that may mimic patellar tendinopathy. Superficial infrapatellar bursitis presents as a visible swelling below the kneecap from kneeling ('clergyman's knee').
Swelling and pain inferior to the patella from repetitive friction — superficial from kneeling (clergyman's knee) or deep from impingement between the tendon and fat pad.
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