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Knee bursae

The knee bursae are the fluid-filled sacs and synovial pockets that surround and sometimes communicate with the knee joint cavity. The bursae are thin-walled, and filled with synovial fluid. They represent the weak point of the joint, but also provide enlargements to the joint space.[1] They can be grouped into either communicating and non-communicating bursae or, after their location – frontal, lateral, or medial.

Knee bursae
Sagittal section of right knee-joint, thus showing only frontal bursae.
Anatomical terminology
[edit on Wikidata]

Frontal edit

 
X-ray of the knee of a 12-year-old male, with knee effusion extending into the suprapatellar bursa.

In front, there are five bursae:

  1. the suprapatellar bursa or recess between the anterior surface of the lower part of the femur and the deep surface of the quadriceps femoris.[2] It allows for movement of the quadriceps tendon over the distal end of the femur. In about 85% of individuals, this bursa communicates with the knee joint. A distension of this bursa is therefore generally an indication of knee effusion.[3]
  2. the prepatellar bursa between the patella and the skin[2] It allows movement of the skin over the underlying patella.
  3. the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament.[2] It allows for movement of the patellar ligament over the tibia.[4]
  4. the subcutaneous (or superficial) infrapatellar bursa between the patellar ligament and skin.[2]
  5. the pretibial bursa between the tibial tuberosity and the skin.[2] It allows for movement of the skin over the tibial tuberosity.[4]

Lateral edit

Laterally there are four bursae:[2]

  1. the lateral gastrocnemius (subtendinous) bursa between the lateral head of the gastrocnemius and the joint capsule
  2. the fibular bursa between the lateral (fibular) collateral ligament and the tendon of the biceps femoris
  3. the fibulopopliteal bursa between the fibular collateral ligament and the tendon of the popliteus
  4. and the subpopliteal recess (or bursa) between the tendon of the popliteus and the lateral condyle of the femur

Medial edit

Medially, there are five bursae:

  1. the medial gastrocnemius (subtendinous) bursa between the medial head of the gastrocnemius and the joint capsule[2]
  2. the anserine bursa between the medial (tibial) collateral ligament and the pes anserinus – the conjoined tendons of the sartorius, gracilis, and semitendinosus muscles.[2]
  3. the bursa semimembranosa between the medial collateral ligament and the tendon of the semimembranosus[2]
  4. there is one between the tendon of the semimembranosus and the head of the tibia[5]
  5. and occasionally there is a bursa between the tendons of the semimembranosus and semitendinosus[5]

See also edit

Notes edit

  1. ^ Platzer (2004), p 26
  2. ^ a b c d e f g h i Burgener (2002), p 390
  3. ^ Daniel J Bell and Brian Gilcrease-Garcia. "Suprapatellar bursa". Radiopaedia.
  4. ^ a b Cipriano (2002), p 358. (A brief description of the "clinically important bursae in the anterior aspect of the knee")
  5. ^ a b Gray's Anatomy (1918)

References edit

  • Burgener, Francis A.; Meyers, Steven P.; Tan, Raymond K. (2002). Differential Diagnosis in Magnetic Resonance Imaging. Thieme. ISBN 1-58890-085-1.
  • Cipriano, Joseph J. (2002). Photographic Manual of Regional Orthopaedic and Neurological Tests. Lippincott Williams & Wilkins. ISBN 0-7817-3552-1.
  • "Gray's Anatomy (1918): The Knee-joint". Retrieved 26 April 2017.
  • Platzer, Werner (2004). Color Atlas of Human Anatomy, Vol. 1: Locomotor System (5th ed.). Thieme. ISBN 3-13-533305-1.

External links edit

  • Image at nlm.nih.gov

knee, bursae, knee, bursae, fluid, filled, sacs, synovial, pockets, that, surround, sometimes, communicate, with, knee, joint, cavity, bursae, thin, walled, filled, with, synovial, fluid, they, represent, weak, point, joint, also, provide, enlargements, joint,. The knee bursae are the fluid filled sacs and synovial pockets that surround and sometimes communicate with the knee joint cavity The bursae are thin walled and filled with synovial fluid They represent the weak point of the joint but also provide enlargements to the joint space 1 They can be grouped into either communicating and non communicating bursae or after their location frontal lateral or medial Knee bursaeSagittal section of right knee joint thus showing only frontal bursae Anatomical terminology edit on Wikidata Contents 1 Frontal 2 Lateral 3 Medial 4 See also 5 Notes 6 References 7 External linksFrontal edit nbsp X ray of the knee of a 12 year old male with knee effusion extending into the suprapatellar bursa In front there are five bursae the suprapatellar bursa or recess between the anterior surface of the lower part of the femur and the deep surface of the quadriceps femoris 2 It allows for movement of the quadriceps tendon over the distal end of the femur In about 85 of individuals this bursa communicates with the knee joint A distension of this bursa is therefore generally an indication of knee effusion 3 the prepatellar bursa between the patella and the skin 2 It allows movement of the skin over the underlying patella the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament 2 It allows for movement of the patellar ligament over the tibia 4 the subcutaneous or superficial infrapatellar bursa between the patellar ligament and skin 2 the pretibial bursa between the tibial tuberosity and the skin 2 It allows for movement of the skin over the tibial tuberosity 4 Lateral editLaterally there are four bursae 2 the lateral gastrocnemius subtendinous bursa between the lateral head of the gastrocnemius and the joint capsule the fibular bursa between the lateral fibular collateral ligament and the tendon of the biceps femoris the fibulopopliteal bursa between the fibular collateral ligament and the tendon of the popliteus and the subpopliteal recess or bursa between the tendon of the popliteus and the lateral condyle of the femurMedial editMedially there are five bursae the medial gastrocnemius subtendinous bursa between the medial head of the gastrocnemius and the joint capsule 2 the anserine bursa between the medial tibial collateral ligament and the pes anserinus the conjoined tendons of the sartorius gracilis and semitendinosus muscles 2 the bursa semimembranosa between the medial collateral ligament and the tendon of the semimembranosus 2 there is one between the tendon of the semimembranosus and the head of the tibia 5 and occasionally there is a bursa between the tendons of the semimembranosus and semitendinosus 5 See also editLateral meniscus Medial meniscusNotes edit Platzer 2004 p 26 a b c d e f g h i Burgener 2002 p 390 Daniel J Bell and Brian Gilcrease Garcia Suprapatellar bursa Radiopaedia a b Cipriano 2002 p 358 A brief description of the clinically important bursae in the anterior aspect of the knee a b Gray s Anatomy 1918 References editBurgener Francis A Meyers Steven P Tan Raymond K 2002 Differential Diagnosis in Magnetic Resonance Imaging Thieme ISBN 1 58890 085 1 Cipriano Joseph J 2002 Photographic Manual of Regional Orthopaedic and Neurological Tests Lippincott Williams amp Wilkins ISBN 0 7817 3552 1 Gray s Anatomy 1918 The Knee joint Retrieved 26 April 2017 Platzer Werner 2004 Color Atlas of Human Anatomy Vol 1 Locomotor System 5th ed Thieme ISBN 3 13 533305 1 External links editImage at nlm nih gov Retrieved from https en wikipedia org w index php title Knee bursae amp oldid 1212792516, wikipedia, wiki, book, books, library,

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