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Prepatellar Bursa

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Description

Diagram shows compartmentalization of prepatellar bursa. SCCT = subcutaneous cellular tissue; QT = quadriceps tendon; PT = patellar tendon; F = femur; 1 = superficial compartment, or prepatellar subcutaneous bursal space, between subcutaneous tissue and transverse superficial fascia; 2 = intermediate compartment, or prepatellar subfascial bursal space, situated between transverse superficial fascia and intermediate oblique fascia; 3 = deepest compartment, or prepatellar subaponeurotic bursal space, between intermediate oblique fascia and deep longitudinal fibers of rectus femoris tendon, which inserts directly in patella (P).[1]

Name

  • Prepatellar Bursa

General

  • One of the many bursae of the knee
  • Tricompartmental structure situated in the subcutaneous tissue anterior to the patella
  • Separated by two thin septa oriented in a coronal plane
  • The prepatellar bursa does not communicate with the joint space
  • The prepatellar bursa is a flat, round, synovial-lined structure

Compartments

  • Superficial compartment[2]
    • Name: prepatellar subcutaneous bursal space
    • Localized between the subcutaneous tissue and an extension of the fascia lata (transverse superficial fascia)
    • The structure classically described in the anatomic literature
  • Intermediate compartment
    • Name: prepatellar subfascial bursal space
    • Between the transverse superficial fascia and an intermediate oblique fascia formed by fascial extension of the vastus lateralis and vastus medialis muscles
  • Deep compartment
    • Name: prepatellar subaponeurotic bursal space
    • localized between the intermediate oblique fascia and the deep longitudinal fibers of the rectus femoris tendon
    • Insert directly in the patella

Anatomic Considerations

  • In cadaveric studies, a trilaminar prepatellar bursa was found in 78-93% of people, and a bilaminar bursa was found in 7-22% cases[3]
  • This bursa is superficial, suggesting that it is undeveloped at birth.
  • Within the first few months to years of life, the bursa arises from direct pressure and friction.

Functions

  • Separate the Patella from the patellar tendon and skin.
  • Reduce friction between the skin and the patella and allows maximal range of motion (ROM).

Clinical Significance


See Also


References

  1. Aguiar, Rodrigo O., et al. "The prepatellar bursa: cadaveric investigation of regional anatomy with MRI after sonographically guided bursography." American Journal of Roentgenology 188.4 (2007): W355-W358.
  2. Dye SE, Campagna-Pinto D, Dye CC, Shifflett S, Eiman T. Soft-tissue anatomy anterior to the human patella. J Bone Joint Surg Am 2003; 85:1012-1017
  3. Aguiar, Rodrigo O., et al. "The prepatellar bursa: cadaveric investigation of regional anatomy with MRI after sonographically guided bursography." American Journal of Roentgenology 188.4 (2007): W355-W358.
Created by:
John Kiel on 31 January 2021 16:22:24
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Last edited:
19 April 2025 01:46:52
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