Bursae Of The Knee Joint
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Bursae Of The Knee 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. They can be grouped into either ''communicating'' and ''non-communicating'' bursae or, after their location – frontal, lateral, or medial. Frontal 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. # the prepatellar bursa between the patella and the skin It allows movement of the skin over the underlying patella. # the ...
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Articular Capsule Of The Knee Joint
The articular capsule of the knee joint (commonly referred to as the capsular ligament) is the wide and lax joint capsule of the knee. It is thin in front and at the side, and contains the patella, ligaments, menisci, and bursae of the knee.Platzer (2004), p 206 The capsule consists of an inner synovial membrane, and an outer fibrous membrane separated by fatty deposits anteriorly and posteriorly.Platzer (2004), p 210 Synovial membrane Anteriorly, the reflection of the synovial membrane lies on the femur; located at some distance from the cartilage because of the presence of the suprapatellar bursa. Above, the reflection appears lifted from the bone by underlying periosteal connective tissue. In a standing posture, the suprapatellar bursa is seemingly redundant. It is however also referred to as the ''suprapatellar synovial recess'' as it gradually unfolds as the knee is flexed; to open up completely when the knee is flexed 130 degrees.''Thieme Atlas of Anatomy'', pp 40 ...
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Biceps Femoris Muscle
The biceps femoris () is a muscle of the thigh located to the posterior, or back. As its name implies, it has two parts, one of which (the long head) forms part of the hamstrings muscle group. Structure It has two heads of origin: *the ''long head'' arises from the lower and inner impression on the posterior part of the tuberosity of the ischium. This is a common tendon origin with the semitendinosus muscle, and from the lower part of the sacrotuberous ligament. *the ''short head'', arises from the lateral lip of the linea aspera, between the adductor magnus and vastus lateralis extending up almost as high as the insertion of the gluteus maximus, from the lateral prolongation of the linea aspera to within 5 cm. of the lateral condyle; and from the lateral intermuscular septum. The two muscle heads joint together distally and unite in an intricate fashion. The fibers of the long head form a fusiform belly, which passes obliquely downward and lateralward across the sciatic ...
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Synovial Bursae
Synovial () may refer to: * Synovial fluid * Synovial joint * Synovial membrane * Synovial bursa Synovial () may refer to: * Synovial fluid * Synovial joint * Synovial membrane * Synovial bursa Synovial () may refer to: * Synovial fluid * Synovial joint * Synovial membrane The synovial membrane (also known as the synovial stratum, synovi ... {{disambiguation ...
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Thieme Medical Publishers
Thieme Medical Publishers is a German medical and science publisher in the Thieme Publishing Group. It produces professional journals, textbooks, atlases, monographs and reference books in both German and English covering a variety of medical specialties, including neurosurgery, orthopaedics, endocrinology, urology, radiology, anatomy, chemistry, otolaryngology, ophthalmology, audiology and speech-language pathology, complementary and alternative medicine. Thieme has more than 1,000 employees and maintains offices in seven cities worldwide, including New York City, Beijing, Delhi, Stuttgart, and three other cities in Germany. History Georg Thieme Verlag was founded in 1886 in Leipzig, Germany, by Georg Thieme when he was 26 years old. Thieme remains privately held and family-owned. The company received some early success in 1896 by publishing Wilhelm Röntgen's famous picture of his wife's hand in what is still one of Thieme's and Germany's oldest journals, the ''Deutsche ...
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Medial Meniscus
The medial meniscus is a fibrocartilage semicircular band that spans the knee joint medially, located between the medial condyle of the femur and the medial condyle of the tibia.Platzer (2004), p 208 It is also referred to as the internal semilunar fibrocartilage. The medial meniscus has more of a crescent shape while the lateral meniscus is more circular. The anterior aspects of both menisci are connected by the transverse ligament. It is a common site of injury, especially if the knee is twisted. Structure The meniscus attaches to the tibia via coronary ligaments. Its anterior end, thin and pointed, is attached to the anterior intercondyloid fossa of the tibia, in front of the anterior cruciate ligament; Its posterior end is fixed to the posterior intercondyloid fossa of the tibia, between the attachments of the lateral meniscus and the posterior cruciate ligament. It is fused with the tibial collateral ligament which makes it far less mobile than the lateral meniscus. The ...
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Lateral Meniscus
The lateral meniscus (external semilunar fibrocartilage) is a fibrocartilaginous band that spans the lateral side of the interior of the knee joint. It is one of two meniscus (anatomy), menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force, as seen in contact sports. Structure The lateral meniscus is grooved laterally for the tendon of the popliteus, which separates it from the fibular collateral ligament. Its anterior end is attached in front of the intercondyloid eminence of the tibia, lateral to, and behind, the anterior cruciate ligament, with which it blends; the posterior end is attached behind the intercondyloid eminence of the tibia and in front of the posterior end of the medial meniscus. The anterior attachment of the lateral meniscus is twisted on itself so that its free margin looks backwa ...
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Head Of The Tibia
The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute ''tibia''. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body. Structure In human anatomy, the tibia is the second largest bone next to the femur. As in other vertebrates the tibia is one of two bones in the lower leg, the other being the fibula, and is a component of the knee and ankle joints. The ossification or formation of the bone st ...
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Semimembranosus Muscle
The semimembranosus muscle () is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint. Structure The semimembranosus muscle, so called from its membranous tendon of origin, is situated at the back and medial side of the thigh. It is wider, flatter, and deeper than the semitendinosus (with which it shares very close insertion and attachment points). The muscle overlaps the upper part of the popliteal vessels. Origin The semimembranosus muscle originates by a thick tendon from the superolateral aspect of the ischial tuberosity. It arises above and medial to the biceps femoris muscle and semitendinosus muscle. The tendon of origin expands into an aponeurosis, which covers the upper part of the anterior surface of the muscle; from this aponeurosis, muscular fibers arise, and converge to another a ...
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Semitendinosus Muscle
The semitendinosus () is a long superficial muscle in the back of the thigh. It is so named because it has a very long tendon of insertion. It lies posteromedially in the thigh, superficial to the semimembranosus. Structure The semitendinosus, remarkable for the great length of its tendon of insertion, is situated at the posterior and medial aspect of the thigh. It arises from the lower and medial impression on the upper part of the tuberosity of the ischium, by a tendon common to it and the long head of the biceps femoris; it also arises from an aponeurosis which connects the adjacent surfaces of the two muscles to the extent of about 7.5 cm. from their origin. The muscle is fusiform and ends a little below the middle of the thigh in a long round tendon which lies along the medial side of the popliteal fossa; it then curves around the medial condyle of the tibia and passes over the medial collateral ligament of the knee-joint, from which it is separated by a bursa, and is ...
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Gracilis Muscle
The gracilis muscle (; Latin for "slender") is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below. Structure It arises by a thin aponeurosis from the anterior margins of the lower half of the symphysis pubis and the upper half of the pubic arch. The muscle's fibers run vertically downward, ending in a rounded tendon. This tendon passes behind the medial condyle of the femur, curves around the medial condyle of the tibia where it becomes flattened, and inserts into the upper part of the medial surface of the body of the tibia, below the condyle. For this reason, the muscle is a lower limb adductor. At its insertion the tendon is situated immediately above that of the semitendinosus muscle, and its upper edge is overlapped by the tendon of the sartorius muscle, which it joins to form the pes anserinus. The pes anserinus is separated from the medial collateral ligament of the knee-joint by a bursa. A ...
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Sartorius Muscle
The sartorius muscle () is the longest muscle in the human body. It is a long, thin, superficial muscle that runs down the length of the thigh in the Anterior compartment of thigh, anterior compartment. Structure The sartorius muscle originates from the anterior superior iliac spine, and part of the notch between the anterior superior iliac spine and anterior inferior iliac spine. It runs obliquely across the upper and anterior part of the thigh in an inferomedial direction. It passes behind the medial condyle of the femur to end in a tendon. This tendon curves anteriorly to join the tendons of the Gracilis muscle, gracilis and semitendinosus muscles in the pes anserinus (leg), pes anserinus, where it inserts into the superomedial surface of the tibia. Its upper portion forms the lateral border of the femoral triangle, and the point where it crosses Adductor longus muscle, adductor longus marks the apex of the triangle. Deep to sartorius and its fascia is the adductor canal, throu ...
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Pes Anserinus (leg)
Pes anserinus ("goose foot") refers to the conjoined tendons of three muscles of the thigh. It inserts onto the anteromedial (front and inside) surface of the proximal tibia. The muscles are the sartorius, gracilis and semitendinosus sometimes referred to as the guy ropes. The name "goose foot" arises from the three-pronged manner in which the conjoined tendon inserts onto the tibia. Structure The three tendons, from front to back, that conjoin to form the pes anserinus come from the sartorius muscle, the gracilis muscle, and the semitendinosus muscle. It inserts onto the proximal anteromedial surface of the tibia. The pes anserinus is around 5 cm below the medial tibial joint line. It lies superficial to the tibial insertion of the medial collateral ligament of the knee. Clinical significance Pes anserinus tendinitis/bursitis syndrome, or pes anserine bursitis, is a cause of Knee pain, chronic knee pain and weakness. - "Pes anserinus bursitis" It occurs when the medial por ...
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