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10.06.2024 | Original Article

Dynamics of the suprapatellar bursa during knee joint extension

verfasst von: Mutsuaki Edama, Yudai Tanaka, Tatuki Shirai, Yuki Takano, Kodai Sakamoto, Haruki Osanami, Hirotake Yokota, Ryo Hirabayashi, Tomonobu Ishigaki, Hiroshi Akuzawa, Chie Sekine, Noboru Sato

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 9/2024

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Abstract

Purpose

The suprapatellar bursa is located in the proximal deep layer of the patella and is thought to reduce tissue friction by changing from a single-membrane structure to a double-membrane structure during knee joint motion. However, the dynamics of the suprapatellar bursa have only been inferred from positional relationships, and the actual dynamics have not been confirmed.

Methods

Dynamics of the suprapatellar bursa during knee joint motion were observed in eight knees of four Thiel-fixed cadavers and the angle at which the bursa begins to show a double membrane was revealed. The flexion angles of knee joints were measured when the double-membrane structure of the suprapatellar bursa began to appear during knee joint extension.

Results

The suprapatellar bursa changes from a single membrane to a double-membrane structure at 91 ± 4° of flexion, when the knee joint is moved from a flexed position to an extended position.

Conclusion

The suprapatellar bursa may be involved in limitations to knee joint range of motion and pain at an angle of approximately 90°. Further studies are needed to verify whether the same dynamics are observed in living subjects.

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Titel: Dynamics of the suprapatellar bursa during knee joint extension
verfasst von: Mutsuaki Edama
Yudai Tanaka
Tatuki Shirai
Yuki Takano
Kodai Sakamoto
Haruki Osanami
Hirotake Yokota
Ryo Hirabayashi
Tomonobu Ishigaki
Hiroshi Akuzawa
Chie Sekine
Noboru Sato
Publikationsdatum: 10.06.2024
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 9/2024
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-024-03390-1

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Dynamics of the suprapatellar bursa during knee joint extension