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Swelling – Normal fluid in the knee joint is not visible, but when there is water on the knee, it just swells up. It brings a feeling as if the knee is stiff and unable to move. Suprapatellar joint effusion makes it difficult to bend or straighten the knee joint completely. Stiffness – Stiffness is more prominently noted during knee movement. Some of the symptoms of suprapatellar joint effusion include: It is important to know these to be able to seek timely medical advice. However, some of the complaints associated with it can be considered as symptoms of suprapatellar joint effusion. Suprapatellar joint effusion is a symptom of an underlying condition. Joint conditions like gout and pseudo gout, prepatellar bursitis, can also cause suprapatellar joint effusion. Other autoimmune disorders like lupus too can severely affect the knee joint. In rheumatoid arthritis, knee swelling is often seen on both sides and small joints of hands are more affected. 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