Young patient will increasing knee pain and swelling over the past week.
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Marked pre-patellar soft tissue swelling.
No joint effusion.
No bone or joint abnormality.
Pre-patellar bursitis ( Housemaid's knee ) is a clinical diagnosis. On this occasion a radiograph has rather unecessarily been performed.
It is typically due to repeat friction of the pre-pateller region - hence the classical name in female servants of the past spending time on their knees scrubbing the master's floor.