Lower limb
Peripatellar bursae (Prepatellar, infrapatellar, and suprapatellar bursal complex)
Bursae prepatellares, infrapatellares et suprapatellares
- Origin
- Subcutaneous anterior to patella, deep to patellar tendon, over tibial tuberosity, and proximal under quadriceps tendon
- Insertion
- Patella, patellar tendon, tibial tuberosity, and distal anterior femur
- Function
- Provides low-friction glide interfaces during kneeling and deep bending; suprapatellar bursa is a direct extension of the knee joint cavity
- Innervation
- Femoral nerve anterior cutaneous branches and saphenous nerve (L3–L4)
- Movement & chain
- Allows effortless skin and tendon translation during knee flexion and direct weight-bearing
- Palpation
- Prepatellar bursa is visible and palpable as an egg-like swelling over anterior patella
- Clinical
- Prepatellar bursitis ('housemaid's knee' / carpet layer's knee from repetitive kneeling, aseptic or septic); deep infrapatellar bursitis; suprapatellar synovitis.
- Segmental innervation
- L3–L4
- In clinical practice
- Aspiration for septic bursitis exclusion, kneeling pads for tradespeople, and compression wrapping
- Region in the model
- Lower limb