What is the difference between a bursa and a meniscus

The majority of cases with bursitis can be treated conservatively, but some may require surgical treatment. Awareness of the different types of lesions helps in arriving at the correct diagnosis which, in turn, helps in proper management. Source of Support: Nil. Conflict of Interest: None declared.

National Center for Biotechnology Information , U. Indian J Radiol Imaging. Priyank S Chatra. Author information Copyright and License information Disclaimer.

Correspondence: Dr. Priyank S. E-mail: ni. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC. Abstract A bursa is a fluid-filled structure that is present between the skin and tendon or tendon and bone. Keywords: Iliotibial bursa, infrapatellar bursa, pes anserine bursa.

Introduction A bursa is a fluid-filled structure that is present between the skin and tendon or tendon and bone. Prepatellar Bursitis The prepatellar bursa is located between the patella and the overlying subcutaneous tissue. Open in a separate window. Figure 1 A,B. Infrapatellar Bursitis Infrapatellar bursae can be superficial or deep. Superficial Infrapatellar Bursitis Superficial infrapatellar bursitis, also called clergyman's knee, is due to inflammation and fluid accumulation resulting from chronic stress.

Figure 2 A,B. Deep Infrapatellar Bursitis On MRI, deep infrapatellar bursitis appears as a triangular fluid collection posterior to the patellar tendon [ Figure 3 ]. Figure 3. Figure 4 A,B. Suprapatellar Bursitis The suprapatellar bursa is located between the quadriceps tendon and the femur. Figure 5 A,B. Pes Anserine Bursitis The pes anserine bursa separates the pes anserine tendons, consisting of the distal sartorius, gracilis, and semitendinosus tendons, from the subjacent distal portion of the tibial collateral ligament and the bony surface of the medial tibial condyle.

Figure 6 A,B. Medial Collateral Ligament Bursitis The medial collateral ligament bursa is located between the superficial and deep layers of the medial collateral ligament. Figure 7 A,B. Iliotibial Bursitis The iliotibial bursa is located between the distal part of the iliotibial band near its insertion on Gerdy tubercle and the adjacent tibial surface. Figure 8 A,B.

The hallmark symptom of bursitis is localized swelling at the joint hip bursitis is an exception and may not produce visible swelling. Distinguishing between aseptic and septic bursitis can be difficult. Septic bursitis requires prompt medical treatment. See Septic Bursitis Treatment. What Is Shoulder Subacromial Bursitis? You are here Types Bursitis. What Is a Bursa? By Marco Funiciello, DO. Peer Reviewed. Reference: What Is Bursitis? Philadelphia PA: Elsevier; So it took longer for her to have relief from the quadriceps tendonitis.

But she did however tell me she began to instantly notice the difference once she changed her positioning on the bike. I did some height and aft adjustments to help accommodate and the pain was eliminated. So always ask a cycling client about their bike set up, ask if anyone has looked at their position on the bike and for indoor cyclists be sure to suggest not adding so much resistance on simulated hill climbing.

The McMurray test evaluates for meniscal tears. The client is supine and the therapist grasps the foot with one hand and palpates the knee joint line with the other hand. The therapist flexes the knee and rotates the tibia into medial and lateral rotation. With the tibia held in lateral rotation, the therapist applies a valgus stress and extends the knee. The test is repeated with the knee held in medial rotation and a varus stress is applied while extending the knee.

A palpable or audible click, especially with pain, within the joint is considered a sign of meniscal tear. The other test is the Apley's Compression Test which is performed with the client in a prone position and the knee is flexed to 90 degrees.

The therapist will stabilize the client's thigh and leans on the heel, compressing the menisci between the femur and tibia, and then rotates the tibia medially while maintaining this compression.

Medial joint pain created by this test suggests a medial meniscal tear, whereas lateral joint pain suggests a lateral meniscal tear. Do a manual muscle test of the semi-tendinosis, gracilis, and satorius to help establish which position creates the most discomfort.

This will be used over and over again during the therapy to determine if the therapy is helping take the pressure off of the bursa. Perform a myofascial release to the entire extensor, adductor, flexor, and abductor chain of muscles. The target of course is to use extra attention to release the three tendons specifically. Knee pain is a common condition affecting individuals from different age groups. It not only affects movement but also impacts the quality of life of the individual.

An injury or disease of the knee joint or any structure surrounding the knee can result in knee pain. A precise diagnosis of the underlying cause is important to develop an appropriate treatment plan. Knee conditions should be evaluated by your doctor for a proper diagnosis and treatment. A detailed medical history and physical examination of the knee are crucial for the diagnosis. Blood tests may be performed to identify any infection, gout or pseudo gout.