Knee bursae#Frontal
{{Short description|Fluid-filled sacs of the knee joint}}
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| Caption = Sagittal section of right knee-joint, thus showing only frontal bursae.
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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.Platzer (2004), p 26 They can be grouped into either communicating and non-communicating bursae or, after their location – frontal, lateral, or medial.
==Frontal==
File:Knee effusion, annotated.jpg 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.Burgener (2002), p 390 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.{{cite web|url=https://radiopaedia.org/articles/suprapatellar-bursa|title=Suprapatellar bursa|author=Daniel J Bell and Brian Gilcrease-Garcia|website=Radiopaedia}}
- the prepatellar bursa between the patella and the skin 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. It allows for movement of the patellar ligament over the tibia.Cipriano (2002), p 358. (A brief description of the "clinically important bursae in the anterior aspect of the knee")
- the subcutaneous (or superficial) infrapatellar bursa between the patellar ligament and skin.
- the pretibial bursa between the tibial tuberosity and the skin. It allows for movement of the skin over the tibial tuberosity.
Lateral
Laterally there are four bursae:
- 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 femur
Medial
Medially, there are five bursae:
- the medial gastrocnemius (subtendinous) bursa between the medial head of the gastrocnemius and the joint capsule
- the anserine bursa between the medial (tibial) collateral ligament and the pes anserinus – the conjoined tendons of the sartorius, gracilis, and semitendinosus muscles.
- the bursa semimembranosa between the medial collateral ligament and the tendon of the semimembranosus
- there is one between the tendon of the semimembranosus and the head of the tibiaGray's Anatomy (1918)
- and occasionally there is a bursa between the tendons of the semimembranosus and semitendinosus
See also
Notes
{{Reflist}}
References
- {{cite book
| url = https://books.google.com/books?id=brsH_IqPzzoC&pg=PA390
| title = Differential Diagnosis in Magnetic Resonance Imaging
| first = Francis A. | last = Burgener |author2=Meyers, Steven P. |author3=Tan, Raymond K.
| publisher = Thieme | date = 2002
| isbn = 1-58890-085-1
}}
- {{cite book
| title = Photographic Manual of Regional Orthopaedic and Neurological Tests
| first = Joseph J. | last = Cipriano
| publisher = Lippincott Williams & Wilkins | date = 2002
| isbn = 0-7817-3552-1
| url = https://books.google.com/books?id=nlUR1toYU8UC&pg=PA356
}}
- {{cite web
| url = http://www.bartleby.com/107/93.html
| title = Gray's Anatomy (1918): The Knee-joint
| date = | accessdate = 26 April 2017
}}
- {{cite book
| first = Werner | last = Platzer
| title = Color Atlas of Human Anatomy, Vol. 1: Locomotor System
| publisher = Thieme | isbn = 3-13-533305-1
| year = 2004 | edition = 5th
}}
External links
- [https://www.nlm.nih.gov/medlineplus/ency/imagepages/19071.htm Image at nlm.nih.gov]
{{Bursae}}