Bursitis
Superficial and Deep InfrapatellarDefinition:
Inflammation of the superficial and deep infrapatellar bursae due to mechanical irritation during activities such as kneeling (aka "nun's knee") or direct trauma (Dutton). PrepatellarDefinition:
Inflammation due to experiencing recurrent trauma of the anterior knee. Seen in occupations that require long periods of kneeling (aka: "housemaid's knee") (Dutton). Subjective:
Medial Collateral Ligament (MCL)Definition:
Described by Brantigan and Voshell as inflammation of the bursae deep to the MCL (Dutton). Subjective:
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Pes anserineDefinition:
A condition involving any of the bursae lying between the various tendons of the superficial pes anserinus, of a bursa between the MCL and superficial pes anserinus. Common in novice swimmers and long-distance runners (Dutton). Subjective: Symptoms:
Objective: Muscle Strength: (Granado and Dressendorfer et al., 2012)
Special Tests: (Granado and Dressendorfer et al., 2012)
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General Intervention for Bursitis
- Removal of the irritation either through stretching adaptively shortened structures, or joint mobilizations to help correct alignment. (Dutton, 2008)
- The chart below is an example of an intervention program specifically for Pes Anserine Bursitis, but many of the general ideas including modalities, manual therapy, therapeutic exercise and patient education can be applied to any bursitis around the knee with adjustment made in the program to the structures involved. (Granado and Dressendorfer).
References:
- Dutton M. Orthopaedic Examination, Evaluation, & Intervention. 2nd ed. New York: Mc Graw Hill; 2008.
- Handy, J. R. (1997). "Anserine Bursitis: A brief review." Southern medical journal 90(4): 376.
- Granado, M. J. and R. Dressendorfer (2012). Anserine Tendinopathy. S. Richman. Ipswich, Massachusetts, EBSCO Publishing: 7p.
- Image Taken From: bursitis.sonicrelief.com