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Health and Med Presentation

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Cora Lawson

on 6 May 2010

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Transcript of Health and Med Presentation

Pes Aserine Knee Bursitis
By: Cora Lawson Structures within the Knee About The Pes Anserine Bursa A bursa is a small fluid-filled, pad-like sac that reduces friction and cushions pressure points between your bones and the tendons and muscles near your joints.

The pes anserine bursa is located on the proximomedial aspect of the tibia between the superficial medial (tibial) collateral ligament and the hamstring tendons

The pes anserine bursa serves as a space where motion occurs between these hamstring tendons and the underlying superficial tibial collateral ligament.
Mechanism Of Injury Rehabilitation 1.) Reducing Inflammation
Ice and anti-inflammatory medications in the early, inflammatory phase. The ice should be applied three or four times each day for 10-15 minutes at a time.

2.) Increasing Flexibility
Perform hamstring stretches at least twice a day for a minimum of 30 seconds each time. Holding the stretch for a full minute has been proven even more effective.

3.) Strengthening Exercises
Quadriceps strengthening is important. There is a special type of exercise program called closed kinetic chain (CKC), performed for about six to eight weeks, to assist with quadriceps strengthening. The CKC may include single-knee dips, squats and leg presses.
Pes anserine bursitis is a common sports injury, involving inflammation of the pes anserine bursa of the knee.

It can be caused by poor flexibility, improper or worn out shoes, muscle weakness or imbalance, or overtraining.

Runners may suffer from this if they significantly increase their mileage, change shoes, or have worn out shoes, or change the surface they are running on.
Signs And Symptoms ~Pes anserine bursitis presents as pain, tenderness and swelling over the anteromedial aspect of the knee.

~Pain increases with knee flexion, exercise and/or stair climbing.

~It occurs in athletes engaged in activities such as running, basketball, and racquet sports. Palpation On physical examination, the pes anserine bursa can be palpated at a point slightly distal to the tibial tubercle and about 3-4 cm medial to it.
Pain in this area indicates an underlying inflammation of the pes anserine bursa or a bursitis. Prevention Pes anserine bursitis is best prevented by a proper warmup that includes stretching of the hamstring muscles, the inner thigh muscles, and the top thigh muscles.

Gradually increasing activity levels, rather than doing everything at once, will also help prevent the development of pes anserine bursitis. Care Immediate care consists of rest, ice, compression, and inflammatory medication.

Ice should be applied 3-4 times a day for 10-15 minutes at a time. Ice massages are an alternative but this should only be prolonged for 3-5 minutes at a time.

Treatment may also include the removal of the built up fluid in the bursa with a needle by a doctor or injection of medication like cortisone into the affected bursa.
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