Prepatellar Bursitis is a condition of the knee that is also called “Housemaid’s Knee”. It occurs when the fluid-filled sac known as the bursa which sits at the front of the kneecap becomes inflamed. While most patients who suffer from this condition never progress to the need for surgery, those who do will want to have the best knee surgeon available to ensure they get the best outcome. There are four bursae surrounding the joint of the knee with the Prepatellar bursa to the front of the knee cap being the most prone to this condition.
Bursae prevent friction from occurring in the joint and increase the joint’s range of motion. Once inflamed, the amount of fluid in the sac increases and the bursa swells.
A number of things can cause Prepatellar Bursitis including a sudden injury from a fall or blow to the area. The condition may also result from kneeling or other positions that put pressure on the kneecap for extended periods of time. This is where the condition gets its name, from housemaids who used to spend a lot of their time kneeling to scrub floors.
Most people with housemaid’s knee have localized pain and swelling and sometimes a redness of the overlying skin. The area may also be tender. Sometimes symptoms are severe enough to cause difficulty when bending, kneeling or walking. Often, the distinction between moderate symptoms and looking for the best knee surgeon in Los Angeles to perform surgery is whether the condition is the result of infection.
Most of the time, Prepatellar Bursitis is diagnosed by a visual examination of the knee and interviewing you about your work and other activities. When infection is suspected, fluid may be drawn from the bursa for examination.
Treatments for Prepatellar Bursitis
If there is infection, the doctor will probably prescribe antibiotics. You may also be given antibiotics while waiting for the laboratory analysis and have them changed once the confirmation of infection is received. If x-rays or other diagnostic procedures are used, it is probably to rule out other causes. For severe infections, the best knee surgeon will begin treatment by admitting the patient to the hospital for intravenous (IV) antibiotics for a faster response.
When symptoms persist after 48 hours of treatment, an incision may be made into the knee to drain the infected fluid from the bursae. Although this is a reasonably safe procedure, it is never too early to find the best knee surgeon for your treatment. In the event that these treatments along with supportive treatment do not work, surgery may be required.
Keyhole surgery is often the method of choice for treating Prepatellar Bursitis. It is performed under local anesthetic and does not usually require an overnight stay in the hospital. The Prepatellar bursa is removed during the procedure, leaving the knee to perform perfectly without any long-term effects on the joint. Always make the effort to find the best knee surgeon to provide you with treatment, especially when there is a potential for surgery later on.