Prepatellar bursitis (housemaids knee) is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling in the knee which can be tender to the touch, but which does not restrict the knee's range of motion. A bursa is a small sac of fibrous tissue with a thin synovial lining that is filled with fluid. Generally, bursae help to reduce friction and allow maximal range of motion around joints. Bursitis is inflammation within a bursa. The inflammation leads to an increase in synovial fluid production and causes the bursa to swell. The prepatellar bursa is located superficially on the anterior aspect of the knee between the skin and the patella. Prepatellar bursitis may occur due to acute trauma, such as a fall or direct blow to the knee, or a recurrent minor injury occurs after long periods of time spent kneeling and putting pressure on the patella, and infection.
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