Medial and Lateral Knee Bursitis With Rehab
Medial and lateral knee bursitis is inflammation of the fluid-filled sacs on the inside or outside of the knee. These sacs (bursae) act as shock absorbers, cushions, and gliders to help tendons move smoothly over the knee. Tendons are strong bands of tissue that connect muscles to bones.
• Medial bursitis is on the inside of the knee. A bursa is located beneath the tendon that connects muscles of the upper leg to the inside of the shin bone. This condition is also called pes anserine bursitis.
• Lateral bursitis is on the outside of the knee. A bursa is located beneath a long tendon that connects muscles of the buttock, hip, and upper leg to the outside of the shin bone. This condition is also called iliotibial band friction syndrome.
CAUSES
This condition is caused by repeated rubbing of a tendon over a bursa that occurs with repetitive activity. This friction causes fluid to build up inside the bursa. The bursa swells and becomes painful.
RISK FACTORS
The following factors may make you more likely to develop this condition:
• Doing athletic activities that involve repetitive squatting, running, cutting, and side-to-side movements.
• Overtraining, or starting a new athletic activity without gradually increasing your time and distance.
• Participating in certain sports, such as:
○ Basketball.
○ Cross country running.
○ Football.
○ Rugby.
○ Racquet sports.
○ Soccer.
○ Volleyball.
○ Cycling.
Per medical report dated 2/16/16 by Dr. Bakhos, the patient has been in physical therapy and using brace with goof relief of his pain. However, he reports increasing pain in the anterior knee for the past 3 weeks. The pain is exacerbated with stairs and kneeling. It is decreased with a brace and Advil. The patient received steroid injection to the right knee.
Osgood-Schlatter disease is an inflammation of an area below the kneecap called the tibial tubercle.
Some causes to this disease are due small injuries to the knee area before the knee is finished growing, hence the fact that it is prevalent among miner. The quadriceps muscle affected is key for tasks such as running, jumping or climbing. The quadriceps is a large muscle in the front part of the upper leg. When it squeezes, it straightens the knee. As the quadriceps muscle is continuously
Millions of people across the United States suffer from either Bursitis or a rotator cuff injury every year. Although sometimes the two can be misconceived, they are very different in all actuality. Bursitis is the inflammation or irritation of the bursa. A bursa is a fluid-filled sac used as a bumper near the joints to reduce friction. There are many bursae located in your body, some of which being in the hip, shoulder, wrist, and elbow. However, a rotator cuff injury only affects the shoulder area of the body. The “rotator cuff” is composed of the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. There is only one main way to be diagnosed with Bursitis and it happens when you overuse a joint in sports or on the job. You can put the bursa under pressure for a long time, thus causing the bursa to become inflamed.
The medial collateral ligament (MCL) is a tough band of tissue that connects the thighbone to the shinbone. Your MCL is located on the outside of your knee. It prevents your knee from moving too far inward and helps keep your knee stable. A MCL sprain is an injury caused by stretching the MCL too far. The injury can involve a tear in the MCL.
Bursitis is the inflammation or swelling of the bag of fluid, i.e. the organ that is located under the skin or usually above the joint, which serves as a cushion between bones and tendons. This fluid SAC, also known as the Bursa. All parts of the body can be affected by bursitis, but generally this happens in the hips, knees, elbows, and shoulders.
Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.
This patient most likely has Osgood-Schlatter disease. Osgood-Schlatter disease is characterized as osteochondrosis of the tibia tubercle and associated patellar tendonitis. The severity of Osgood-Schlatter disease can range from mild tendonitis to complete separation of the anterior tibial apophysis. The main goal of treatment for this disease is to decrease the stress on the tibial tubercle. Typically the patient will be restricted from strenuous physical activity for 4-8 weeks, and this usually is sufficient. Using a tubercle band t brace the knee is also very helpful in the healing process. If the pain isn’t relieved more dramatic measures such as a cast or knee immobilizer will be required. After the 8 weeks of limited physical
This condition is caused by inflammation and irritation from the friction of the iliotibial band moving over the thigh bone (femur) when you repeatedly bend and straighten your knee.
Bursitis is a harrowing state of the skeletal disease, which involves or has a direct impact in the tendons, cushion of the bone, and muscles near the joints. This Bursitis results from inflation in the bursae, which is the fluid sac like cavity that counteracts friction in joints. This disorder can be caused by the overuse of a joint after an injury, commonly happens within the knee or elbow that perform frequent repetitive motion.
After reading the case study and piecing together what I believe might be a torn or strained Lateral collateral ligament with inflammation to the patella. Though the study does not say what caused the damaged to the the knee. The evidence suggest that is the likely diagnoses. My reasoning behind this is because of the edema and swelling to the knee on the lateral portion of the femoral condyle. The LCL orgin is the epicondyle of the femur which is very close in proximity to the condyle causing the ligament to become strain by what ever force was exterted on it. The study also states rectangular shaped chondral defect involving the superior aspect of the central patellar facet with a measuremental defects. This tells me that the person fell
The elbows, hips, and shoulders are usually where bursitis presents a problem. This happens because we have these little sacs that are filled with fluid in between all of our bones, muscles, tendons, and joints that are called bursae. Sometimes the bursae will get inflamed creating a lot of pain. when this happens it's called bursitis.
The knee is a hinge joint which gives the legs mobility. The muscles and ligaments of this joint allows flexion and extension of the leg. “Because the knee supports the majority of the body weight, it is at risk of overuse and traumatic injuries” (France). The knee is composed of 3 major bones; the femur, tibia, and the fibula. The femur is the biggest bone in the human body, the inferior end flares out into two rounded landmarks called femoral condyles. Their name comes from the side of the body they are on, which is where we get Lateral Femoral Condyle and Media Femoral Condyle. Superiorly to these condlyes are the medial and lateral femoral epicondyles. The bones inferior to the femur are the Tibia and Fibula. The superior end of the Tibia flares out into slightly concave structures called the Tibial Plateaus. A crescent wedge shape of cartilage sits in each plateau. These are the Medial Meniscus and the Lateral Meniscus. This cartilage acts as a shock absorber and distributes forces. “The menisci are bathed by the synovial fluid of the knee” (France). The meniscus is what separates the each side of the Tibia and Femur and the transverse ligament connects each menisci. There is a circular bone on the
In our human body, the shoulder, elbow, ankle, knee, buttocks, hips, and thigh are the most common parts of our body that are likely to experience Bursitis. Why? Because those are a few places where joints can be found. Bursitis is
It is a condition that causes pain in the knee and is characterized by the wear away of the back of the kneecap.