Bursectomy knee joints is the largest body parts can be divided into precedent after the lateral and medial three groups. Clinical Prepatellar bursectomy is more important, goose foot ganglion, popliteal fossa bursectomy.

(1) Prepatellar Bursitis Prepatellar bursectomy in front of the patella, there synovial inflammation increased bursectomy enlargement. Injury or infection often caused bursectomy acute inflammation. Patellofemoral pain and swelling before the performance, not to kowtow to walk with tenderness and local fluctuations in blood or bloody puncture liquid. Such as acute suppurative bursitis, it will not only local red, swelling, heat, pain and tenderness obvious, and often have systemic symptoms. prevalent in children whose performance mimics suppurative arthritis of the knee, easily misdiagnosed. Infection can result in puncture into the knee joint cavity. Incision at the knee can hit form septic arthritis, and lead to serious consequences, it should be noted differential. Chronic bursitis often occur in miners and those who work to stay kneeling, improper handling can be developed from acute bursitis. Before the performance limitations of the patella hemispherical upwards, with mild pain, check volatility can be found soft tissue mass. tenderness minor and do not affect the knee movement.

Acute traumatic bursitis should rest, compress and puncture or Cortisone acetate injection liquid injection of HCA A then bandaged, and more generally curable. Chronic bursitis, and intracystic injection of corticosteroid use liquid drug with good effect. Non-surgical therapy for those firms bursectomy with no obvious effect. Septic Bursitis pus aspiration to be effective after the injection of antibiotic treatment, drainage should be invalid. to be dissipated later bursectomy with inflammation.

(B) adequate bursitis goose goose foot ganglion is located Sartorius, gracilis muscle. semitendinosus tendon deep, and tibial collateral ligament between the ganglion, as a joint three tendon tendon. named goose-shaped foot. Directly against local small often repeated trauma, such as horseback, or reverse the outcome in the etiology of this disease is often excessive. Performance of the medial knee tumor size volatile fluctuations sense that the patient requires knees, outreach swing pain. Be diagnosed with chronic knee osteoarthritis, and the medial meniscus ganglion cyst cyst identification. Before treatment with the general availability of non-surgical therapy cure. Ineffective action synovectomy was performed.

(C) also called popliteal fossa cyst of popliteal fossa cyst Baker cyst from within the popliteal fossa bursitis. Synoviae many of the popliteal fossa, more than half of popliteal fossa cysts in the first half of the medial gastrocnemius muscle and between About half with a hole in the same joint cavity.

Popliteal cyst is divided into two kinds of primary and secondary. Primary popliteal fossa cyst prevalent in children, usually bilateral, but not necessarily simultaneously, the cyst originated from the joint cavity. and joint disease itself has not. The real causes unclear. Secondary popliteal fossa cyst prevalent in adults, often secondary to osteoarthritis, rheumatoid arthritis and other diseases meniscus. And the increased incidence of intra-articular pressure, intra-articular fluid in the joints between the channels overflow with the ganglion cyst formation.

Popliteal fossa cyst not obvious early symptoms, only popliteal fossa feeling unwell or inflation. When enlarged, in a mass in the rear knee, knees inconvenience. Masses were round or oval in shape and smooth surface with no flexibility or tenderness only light tenderness, when mass manifest stiffen knee. The insidious mass at the knees soft. Knee X-ray examination are helpful in removing the bone disease, but the diagnosis of the popliteal fossa cyst little help.

Larger popliteal fossa cyst should excision of the cyst, capsular not repair the defect. Recurrence of minorities, will be re-surgical resection. Follow-up care may be the popliteal fossa cyst, and 5-year-old who disappeared after not feasible surgical resection. Smaller popliteal fossa cyst fluid can be pumped into after corticosteroid drugs to a certain degree. Caused by intra-articular lesions, should deal with intra-articular lesions, intra-articular lesions healed. popliteal cyst is not cysts disappeared again.

This article was posted on 2007-02-27