• A bursa is a bag that is closed and filled with fluid, its surface is smooth to help reduce friction between the tissues of the body.
  • Bursitis is the condition when the bursa becomes inflamed.

4 bursa in the knee

  • Prepatellar bursa (located above the patella).
  • Suprapatellar bursa (located above the knee, between the femur and the quadriceps tendon)
  • Infrapatellar bursa (located just below the kneecap and below the tendon that attaches the thigh muscle to the kneecap)
  • Anserine bursa

Causes

  • Kneeling often
    • Plumbers, roofers, carpet setters, charcoal miners and gardeners are at higher risk of developing this disease.
  • Receiving a direct hit to the front of the knee
    • Football, wrestling, or basketball are at greater risk for the disease.
  • People with rheumatoid arthritis or gout.
  • Infectious bursitis.
    • If there is an injury to the knee, such as a bug bite, scratch, or puncture wound, bacteria can get inside the bursa and cause infection.
    • Infectious bursitis is less common, but more serious and needs to be treated more urgently.

Symptoms

  • Pain with activity, but usually not at night
  • Rapid swelling in the front of the kneecap
  • Tenderness and warmth to the touch
  • Bursitis caused by infection can produce fluid and redness, as well as fever and chills

Prevention

  • Use knee pads or supports for any sports, work, or household chores that strain your knees.
  • Rest your knees every now and then. Stretch them to keep them flexible. Don’t overdo it. If one type of exercise hurts you, try something else. Put a cold compress on the painful joint after activity.
  • Sit down, don’t crouch. Use a stool in the garden.
  • Stay at a healthy weight. Extra pounds put extra strain on the knees.