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Prepatellar bursitis, often referred to as "housemaid's knee," is a condition characterized by inflammation of the prepatellar bursa, which is a small, fluid-filled sac located in front of the kneecap (patella). This bursa serves as a cushion to reduce friction between the kneecap and the underlying tissues, allowing for smooth movement during activities such as walking, kneeling, or climbing stairs. The inflammation of the bursa can result from repetitive kneeling, trauma, or infection, leading to localized swelling, pain, and tenderness in the area over the kneecap. In individuals whose occupations or activities involve frequent kneeling-such as carpet installers, gardeners, or certain athletes-there is an increased risk of developing this condition. Additionally, diabetes, arthritis, and other inflammatory disorders are known to predispose individuals to bursitis. The hallmark symptom of prepatellar bursitis is swelling around the front of the knee, which may be accompanied by pain that worsens with knee movement or pressure on the bursa. In some cases, individuals may also experience redness and warmth over the affected area, particularly if infection is present. Diagnostic evaluation typically includes a physical examination, where a healthcare professional will palpate the knee to assess tenderness, swelling, and range of motion. Imaging studies, such as X-rays or ultrasound, may be employed to rule out other underlying conditions or to visualize the bursa if needed. In cases where infection is suspected, aspiration of the bursal fluid may be performed to analyze the fluid for the presence of bacteria or other markers of infection. Treatment options for prepatellar bursitis often begin with conservative measures aimed at reducing inflammation and alleviating pain. Resting the knee, applying ice, and utilizing nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage symptoms. In cases where symptoms persist, a corticosteroid injection into the bursa may be considered to reduce significant inflammation. Physical therapy, which focuses on stretching and strengthening exercises, may also be recommended to improve function and prevent future episodes. If conservative treatment fails and the bursitis is recurrent or severely debilitating, surgical intervention may be necessary to remove the inflamed bursa. Overall, the prognosis for prepatellar bursitis is generally favorable, particularly when addressed early and with appropriate management, allowing affected individuals to return to their normal activities with minimal discomfort. However, it is crucial to identify and modify any underlying activities contributing to the condition to prevent recurrence. Regular follow-up with a healthcare provider is often beneficial for ongoing management and to address any concerns related to the knee joint. In summary, prepatellar bursitis is an inflammatory condition of the knee's bursa, typically resulting from repetitive strain or trauma, and can significantly impact an individual's mobility and quality of life if left untreated.