Prepatellar bursitis is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling at the knee, which can be tender to the touch and which generally does not restrict the knee's range of motion , or extremely painful and disabling as long as the underlying condition persists. Prepatellar bursitis is most commonly caused by trauma to the knee, either by a single acute instance or by chronic trauma over time. As such, the condition commonly occurs among individuals whose professions require frequent kneeling. A definitive diagnosis can usually be made once a clinical history and physical examination have been obtained, though determining whether or the inflammation is septic is not as straightforward.
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Average 2. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Prepatellar Bursitis Housemaid's Knee. Jason McKean. Please rate topic. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?
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Arthroscopic Excision of Pre-Patellar Bursa. Michael Hughes. Please login to add comment. Cancel Save. Prepatellar bursa the prepatellar bursa is a potential space function to enhance gliding of tissue over patella. History often patients have a history of kneeling Symptoms pain swelling Physical exam can be warm to touch, especially if septic. Aspiration with gram stain and culture indicated to distinguish between septic versus aseptic on physical exam a septic presentation is difficult to distinguish from an aspetic presentation the collection is extra-articular so the patient does not have the pain one has with septic arthritis S.
Prepatellar Bursitis (Housemaid's Knee)
Prepatellar bursitis is inflammation and fluid collection within the prepatellar bursa, located between the patella and the overlying subcutaneous tissue. It has been historically referred to as " housemaid's knee ". Main symptoms are anterior knee pain and swelling. Chronic irritation due to trauma or repetitive kneeling lead to accumulation of fluid within the prepatellar bursa and sometimes hemorrhagic transformation. Less common causes include:. Hypoechoic fluid, sometimes containing debris, is noted anteriorly to the patellar surface 2.
The inflamed bursa may be:. Inflammation of an infrapatellar bursa is well detected on either targeted musculoskeletal ultrasound or on MRI. Infrapatellar bursitis may be a component of Osgood-Schlatter disease. The knee is a complex synovial joint that can be affected by a range of pathologies:. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait.