Prepatellar Bursitis (Housemaids Knee)

Last updated 20.09.12

 

Index

 

Definition

-  Inflammation of prepatellar bursa of the knee

 

Features

-  Common type of bursitis

-  Superficial bursitis

-  Clinical Dx

 

Cause

-  Related to recurrent trauma

-  Housemaids knee

-  Repeated kneeling

-  Infection: septic bursitis

-  Gout, pseudogout

 

Associated S/S

-  Knee exam

-   

-  Pain on motion & at rest

-  Periodic loss of active movement

-  Local tenderness at site of bursa

-  Usually visually evident

-  Septic bursitis

-  Peribursal erythema, warmth

-  Fever

 

 

Ix

-  Aspiration

-  Persistant & readily palpable fluid

-  WBC, Gram Stain + MCS, glucose, polarised microscopy

 

Mx

-  Rest

-  Avoidance of aggravating trauma

-  NSAIDs

-  +/- Intrabursal Corticosteroids

-  +/- Surgery

-  Refractory to conservative Mx

 

  

 

References

 

UpToDate: Bursitis: An overview of clinical manifestations, diagnosis & management

Prepatellar bursitis (pic): www.joint-pain-expert.net/bursitis.html