“Just thought I would let you know that I had a very successful weeks skiing in Verbier and got back last weekend. Weather fantastic and knee held up very well. Many, many thanks.”

“I couldn't ask for a better surgeon than Neil, he has honestly changed my life in 1 year and I can't thank him enough.”

“I would sincerely like to thank you and your team for the work you did on my knee after the x-ray revealed a 'nasty' break. Your expertise has given me back the use of this leg and I can now walk unaided for half a mile or more. The previous knee operation has also been a complete success.”

“The process from start to finish was smooth and efficient. I always knew where I was in the process, what to expect and when. A thoroughly professional service with a smile.”

“Pre-op information first class. Post-op conditions also first class. Very successful operation.”

“I am now in week 6 after the operation on my knee and I feel I must express my admiration for your skill and delight at the result. I am walking well and striding confidently into a bright new future. Many thanks.”

“Recovery from my knee operation was much quicker than expected. By 10 months I hardly knew I'd had problems with my knee. Able to walk properly again without any thought.”

“Care very good. Mr Bradbury was faultless. Would have liked to see specialist physiotherapist, Genevieve, all through my recovery as she was very helpful. Saw her at 6 months after my knee operation.”

“Mr Bradbury did a fantastic job on my left knee. At 75 I now have my life back!”

“You all did so much to relieve my anxiety and concerns with my knee replacement. I shall remember you with gratitude every time I walk the dog in the future. Thank you”

Prepatellar Bursitis (Housemaid’s knee)

Prepatellar Bursitis (Housemaid’s knee)

 

Housemaid’s knee is caused by inflammation of the bursa (a small fluid-filled sac) in front of the kneecap. It more commonly occurs in people who spend long periods of time kneeling and treatment is usually supportive only and the outlook is generally very good.

The bursa is a small sac of fluid and has a thin lining. The function of a bursa is to help reduce friction and allow maximal range of motion around joints. When there is inflammation within a bursa (bursitis), the bursa swells due to an increase in the amount of fluid within the bursa sac.

There are four bursae located around the knee joint, all of which are prone to inflammation. However, the prepatellar bursa (the bursa in between the skin and the kneecap) is most commonly affected. Another condition is Clergyman’s knee; inflammation to the infrapatellar busae and this can be superficial or deep. The superficial infrapatellar bursa is located between the tibial tubercle and the overlying skin, whereas the deep infrapatellar bursa is located between the posterior aspect of the patellar tendon and the tibia.

There are a number of different things that can cause housemaid’s knee:

A sudden injury to the knee

Re-current minor injury to the knee. This usually happens after spending long periods of time kneeling down, putting pressure on the kneecap (patella). Historically, this was typical of housemaids who spent long periods of time on their knees scrubbing floors; hence, the term housemaid’s knee.

A co-existing inflammatory disease such as synovitis related to rheumatoid arthritis.