Pes anserinus and anserine bursa: anatomical study

被引:26
作者
Lee, Je-Hun [1 ]
Kim, Kyung-Jin [2 ]
Jeong, Young-Gil [1 ]
Lee, Nam Seob [1 ]
Han, Seung Yun [1 ]
Lee, Chang Gug [3 ]
Kim, Kyung-Yong [4 ]
Han, Seung-Ho [4 ]
机构
[1] Konyang Univ, Dept Anat, Coll Med, Daejeon, South Korea
[2] Catholic Univ Korea, Catholic Inst Appl Anat, Dept Anat, Coll Med, Seoul, South Korea
[3] Soonchunhyang Univ, Coll Nat Sci, Cheonan, South Korea
[4] Chung Ang Univ, Dept Anat, Coll Med, 84 Heukseok Ro, Seoul 156861, South Korea
基金
新加坡国家研究基金会;
关键词
Cadaver; Anserine bursa; Pes anserinus; Bursa injection;
D O I
10.5115/acb.2014.47.2.127
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
This study investigated the boundary of anserine bursa with the recommended injection site and shape on the insertion area of pes anserinus (PA), with the aim of improving clinical practice. Eighty six legs from 45 Korean cadavers were investigated. The mixed gelatin solution was injected to identify the shape of anscrine bursa, and then the insertion site of the PA tendons was exposed completely and carefully dissected to identify the shape of the PA. The sartorius was inserted into the superficial layer and gracilis, and the semitendinosus was inserted into the deep layer on the medial surface of the tibia. The number of the semitendinosus tendons at the insertion site varied: 1 in 66% of specimens, 2 in 31%, and 3 in 3%. The gracilis and semitendinosus tendons were connected to the deep fascia of leg. Overall, the shape of the anserine bursa was irregularly circular. Most of the anserine bursa specimens reached the proximal line of the tibia, and some of the specimens reached above the proximal line of the tibia. In the medial view of the tibia, the anserine bursa was located posteriorly and superiorly from the tibia's midlinc, and it followed the lines of the sartorius muscle. The injection site for anscrine bursa should be carried out at 20 degrees from the vertical line medially and inferiorly, 15 or 20 mm deeply, and at the point of about 20 mm medial and 12 mm superior from inferomedial point of tibial tuberosity.
引用
收藏
页码:127 / 131
页数:5
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