Prepatellar bursitis (house maid’s knee) is inflammation of the bursa that is positioned in front of the kneecap (patella). Prepatellar bursitis commonly occurs as a result of repeated trauma to the knee by pressure from constant kneeling on hard surfaces. So when the bursa becomes irritated it produces too much fluid, which causes it to swell and put pressure on the adjacent parts of the knee. Prepatellar bursitis can affect all age groups; however, greater in males than females.
Prepatellar bursitis can lead to pain and reduced function of the knee joint so as means of prevention the patient can follow these simple recommendations of conservative treatment
- Wear kneepads if you work on your knees or participate in contact sports such as hard floors.
- Rest your knees regularly by stopping to stretch your legs. also switching activities on a regular basis to avoid prolonged stress on your knees is helpful.
- Apply ice ice at regular intervals 3 or 4 times a day for 20 minutes at a time and elevate your knees after a workout.
- Discontinue activities that worsen symptoms
The second step is medical treatment in which non-steroidal anti-inflammatory drugs can be used for mild-to-moderate pain and to reduce inflammation .If the swelling and pain do not respond to these measures, your doctor may decide to drain the bursa with a needle, and may inject the bursa with a corticosteroid medication which is stronger than the medication that can be taken by mouth.
Nonsurgical treatment is usually effective as long as the bursa is simply inflamed and not infected.Infectious bursitis is initially treated with antibiotics. Surgical drainage is required if the infection does not respond to antibiotics alone.
Draining the bursa may also treat chronic swelling that causes disability, but if the swelling continues, your orthopaedic surgeon may recommend surgical removal of the bursa. After surgery, the knee should regain its flexibility in a few days and normal activities can be resumed in a few weeks.