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Patellar Bursitis
Anatomy
- Prepatellar bursitis : Commonly known as "Housemaid's knee".
- Infrapatellar bursitis : Often referred to as "Clergyman's knee".
Aetiology
- Prepatellar : Caused by friction at the front of the knee between the patellar tendon and skin. Often seen in occupations like carpentry and others involving prolonged kneeling.
- Infrapatellar : Inflammation occurs between the patella and tendon, commonly affecting those who kneel in a more upright position.
Clinical Presentation
- Prepatellar : Noticeable swelling in front of the knee.
- Postpatellar : Swelling may also be present behind the knee.
Management
- Both conditions benefit from firm bandaging to manage swelling.
- Recommend protective knee pads for those working on their knees.
- The bursa may require aspiration if swelling persists or is severe.
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