Prepatellar bursitis or housemaid’s knee is a usual cause of pain and swelling on the upper region of the kneecap. The condition is common among gardeners and carpet layers.
An issue with prepatellar bursitis is that the bursa can end up infected. Essentially, the infection arises from some form of penetration via the skin which might be a scrape, deep cut or abrasion. In most cases, the staphylococcus bacteria are the cause of the infection.
What are the causes?
The pressure due to continuous kneeling in the workplace is the usual cause. Plumbing, carpet laying, gardening and agricultural jobs can put one at risk. It can also be caused by sustaining a blow to the kneecap during sports or from a direct strike after a fall.
What are the indications?
The usual signs of prepatellar bursitis include:
- Reduced range of knee movement
- Swelling over the patella
- Knee pain especially during movement
- Reddening on the front part of the knee
Management of prepatellar bursitis
The treatment for prepatellar bursitis starts by avoidance of the aggravating activity. Other generally used treatment options include the following:
- Anti-inflammatory medications
- Application of ice
- Compression wraps
In case there is significant buildup of fluid in the bursa, drainage of the fluid with a needle and syringe might be suggested. Once the fluid is drained, the fluid is analyzed for infection. If infection is present, the treatment might include oral or intravenous antibiotics or surgery for the removal of the infected bursa.