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Protection against apoptosis in chicken bursa cells by phorbol ester in vitro.

Like the thymus, the bursa of Fabricius is a site of massive lymphopoiesis accompanied by cell death in vivo. In the present study we have, therefore, examined whether chicken bursa and thymus cells exhibit apoptosis. Bursa and thymus cells from SC chickens, 4-10 weeks of age, were incubated for 8-24 hr with various reagents. Genomic DNA was isolated, electrophoresed in 3% Nusieve agarose gels, and examined for patterns of DNA fragmentation. A laddering of DNA in multiples of 200 base pairs, indicative of apoptosis, was observed particularly with bursa and, to a much smaller extent, with thymus or spleen cells. These patterns of DNA fragmentation from bursa cells could be prevented by adding phorbol myristate acetate (PMA) but not by its inactive analogue 4 alpha-PMA during culture. Ionomycin is not required for this effect and, alone, appears to be slightly toxic for bursa cells, although it does not inhibit the effect of PMA. PMA did not affect the degree of DNA fragmentation in spleen or thymus cells. The addition of the protein kinase C (PKC) inhibitor staurosporine abolished both the preventive effect of PMA on apoptosis and its protective effect on bursa cells, as assayed by [3H]thymidine incorporation 24-48 hr after the initiation of cultures. PKC inhibitors also prevented the proliferation-inducing effect of PMA + ionomycin on spleen cells. It is concluded that the activation of protein kinase C and perhaps other kinases protects against apoptosis in cultured bursa cells.

Alkaloids↗

Dynamic enhanced MRI of the subacromial bursa: correlation with arthroscopic and histological findings.

OBJECTIVE: To assess dynamic MRI with Gd-DTPA enhancement for evaluating inflammatory changes in the subacromial bursa. DESIGN AND PATIENTS: We detected the signal intensity changes in dynamic MRI of the subacromial bursa, and confirmed these macroscopically by arthroscopy and histologically. The signal intensity was measured using built-in software, and the enhancement ratio (E ratio) was calculated from dynamic MR images. In addition, as a parameter of the rate of the increase in the signal intensity from 0 to 80 s, the mean increase per second in the E ratio was obtained as the coefficient of enhancement (CE). The correlation was studied of the E ratio and CE with the arthroscopic findings (redness, villous formation, thickening and adhesion), and of the E ratio and CE with the histological findings (capillary proliferation, papillary hyperplasia, fibrosis and inflammatory cell infiltration) of the subacromial bursa. Of patients with shoulder pain, this study included those with rotator cuff injury; patients with rheumatoid arthritis or pitching shoulder disorders were excluded. There were 27 patients (15 men, 12 women) ranging in age from 25 to 73 years (mean 49.1 years). Dynamic MRI of the shoulder was also performed on the healthy side of 10 patients and in five normal young volunteers. RESULTS AND CONCLUSIONS: Changes in signal intensity on dynamic MRI were measured in the subacromial bursa. The E ratio (80 s) and CE (0-80 s) were significantly correlated with redness and villous formation as arthroscopic findings, positively correlated with capillary proliferation and papillary hyperplasia as histological findings (p < 0.05), and negatively correlated with fibrosis as a histological finding (p < 0.05) in the subacromial bursa. The patterns of dynamic curves were well correlated with the bursoscopic and histological findings of the synovium of the subacromial bursa. Dynamic MRI appears to correlate with inflammatory activity of synovium of the subacromial bursa. Clarifying the state of the synovium of the subacromial bursa may be useful in determining therapeutic strategies (e.g., indicating topical infusion of hyaluronic acid or steroids for preservative treatment and selecting the site). Furthermore, the evaluation may be useful for indicating surgery, selecting the technique, and evaluating preoperative and postoperative inflammatory changes.

Acromion↗

Radial and ulnar bursae of the wrist: cadaveric investigation of regional anatomy with ultrasonographic-guided tenography and MR imaging.

OBJECTIVE: To demonstrate the anatomy of the radial and ulnar bursae of the wrist using MR and US images. DESIGN: Ultrasonographic-guided tenography of the tendon sheath of flexor pollicis longus (FPL) and the common tendon sheath of the flexor digitorum of the fifth digit (FD5) of ten cadaveric hands was performed, followed by magnetic resonance imaging and gross anatomic correlation. Patterns of communication were observed between these tendon sheaths and the radial and ulnar bursae of the wrist. RESULTS: The tendon sheath of the FPL communicated with the radial bursa in 100% (10/10) of cases, and the tendon sheath of the FD5 communicated with the ulnar bursa in 80% (8/10). Communication of the radial and ulnar bursae was evident in 100% (10/10), and presented an "hourglass" configuration in the longitudinal plane. CONCLUSIONS: The ulnar and radial bursae often communicate. The radial bursa communicates with the FPL tendon sheath, and the ulnar bursa may communicate with the FD5 tendon sheath.

Aged↗

Immunocompetent cells of the chicken. I. Specific surface antigenic markers on bursa and thymus cells.

Specific antisera to chicken thymus and to bursa of Fabricius were obtained in rabbits. After appropriate absorption and dilution all four anti-thymus sera, in the presence of guinea pig C', killed >90% of thymus and <==12% of bursa cells. They were cytotoxic for approximately 50% of spleen cells and did not affect antibody-forming cells. The surface antigen detected by these antisera was named chicken T-lymphocyte antigen (CTLA). Two of four anti-bursa sera, under similar conditions, killed >90% of bursa cells and <==10% of thymus cells. These antisera were cytotoxc for a large percentage of antibody-forming cells and killed approximately 30% of spleen cells The other two anti-bursa sera were somewhat less potent but showed similar specificity. The surface antigen detected by these antisera was named chicken bursa-derived lymphocyte antigen (CBuLA). Rabbit antisera to chicken immunoglobulin were cytotoxic for bursa but not for thymus cells and killed a similar percentage of spleen cells as did anti-bursa sera. They were also cytotoxic for antibody-forming cells.

Animals↗

The deep infrapatellar bursa: prevalence and morphology on routine magnetic resonance imaging of the knee.

OBJECTIVE: To evaluate the presence, location, and dimensions of the deep infrapatellar bursa on routine magnetic resonance (MR) imaging of the knee. METHODS: The study group consisted of 213 knees in 204 consecutive individuals who had undergone routine MR imaging examination of the knee within a 365-day period. Magnetic resonance examinations consisted of T1-, proton-density-, and T2-weighted sagittal; spectral presaturation inversion recovery coronal; and T2*-weighted transverse sequences. Exclusion criteria were previous knee arthroscopy or surgery or the presence of a mass lesion infiltrating the infrapatellar fat pad. The presence, location, and dimensions of the deep infrapatellar bursa were studied. The bursa was also analyzed with regard to knee joint synovial effusion (absent, mild, or marked). RESULTS: The deep infrapatellar bursa was detected in 68% of the knees, most commonly on the lateral paramedian sagittal MR images. There was no statistically significant difference between male and female subjects or between the knee sides with regard to the detection of the deep infrapatellar bursa (P > 0.05). No correlation was found between synovial effusion and the presence of the deep infrapatellar bursa. The mean anteroposterior and craniocaudal dimensions of the deep infrapatellar bursa on sagittal T2-weighted MR images were 2.1-2.7 mm and 7.3-9.1 mm, respectively, on its lateral, central, or medial location within the sagittal MR image stack. CONCLUSION: An awareness of the dimensions and location of the deep infrapatellar bursa is important in distinguishing it from pathologic lesions (eg, bursitis).

Adolescent↗

Pathologic gene expression in adhesive subacromial bursae of human shoulder.

An adhesion of the subacromial bursa in the shoulder causes pain during joint motion and restricts the range of motion of the glenohumeral joint. To understand the biologic features of an adhesion, the gene expressions in adhesive subacromial bursa were analyzed by quantitative real-time reverse transcriptase-polymerase chain reaction. The gene expressions in adhesive subacromial bursae were approximately threefold to fourfold greater than those in nonadhesive bursae for the genes for Type I and Type III procollagens, CD34 antigen in vascular endothelium, hyaluronan synthase-3, and interferon-gamma. The gene expression of interleukin-8 was predominant in adhesive bursa. The gene expressions of hyaluronan synthase-1, hyaluronan synthase-2, and interleukin-10 which is an antiadhesive cytokine were predominant in nonadhesive bursae. Chromatography analysis revealed that a hyaluronan, of which molecular weight was more than 100 kDa, was present in the cavity of nonadhesive subacromial bursae. It is suggested that pathologic fibrosis and vascularization are maintained by the presence of interferon-gamma and interleukin-8 in adhesive subacromial bursae and that high molecular weight hyaluronan or interleukin-10 plays a role for antiadhesion.

Bursa, Synovial↗

Sensory innervation of the navicular bone and bursa in the foal.

The sensory innervation of the navicular bone (os sesamoideum distale) and its suspensory ligaments [ligamenta sesamoidea collateralia (CSL) and ligamentum sesamoideum distale impar or distal sesamoidean impar (DS-impar) ligament] and the navicular bursa (podotrochlearis) was examined in the neonatal foal using immunocytochemistry. With antisera raised to substance P (SP) and human calcitonin gene-related peptide (CGRP), immunoreactive nerves were demonstrated to innervate the CSL and navicular bursa. Within CSL, and SP- and CGRP-like nerves were present in the synovial lining of the navicular bursa, appearing to reach the surface lining. These nerves appeared to enter the CSL and navicular bursa via the abaxial regions of the foot. Both peptides were present in the deep digital flexor tendon (DDf) along the palmar border of the navicular bursa, as well as in the DS-impar ligament. More nerve fibres were present in the dorsal part of CSL bordering the distal interphalangeal joint than was observed palmarly in CSL along the navicular bursa. Both peptides were observed to innervate the cartilage canals within the navicular bone. In terms of relative densities of immunoreactive SP- and CGRP-like peptides, the CSL dorsally and the DS-impar ligament had the highest relative densities of nerve fibres followed by the navicular bone, the palmar aspect of CSL and the DDf tendon bordering the navicular bursa. These results are discussed in relationship to local anaesthetic injections into the navicular bursa.

Animals↗

A comparison of the effects of local analgesic solution in the navicular bursa of horses with lameness caused by solar toe or solar heel pain.

We hypothesised that analgesia of the navicular bursa is not selective for the navicular apparatus; and that solar pain in some horses can be temporarily abolished or attenuated by analgesia of the navicular bursa. To test this hypothesis, we caused lameness in horses by inducing pain in the dorsal margin or the angles of the sole and then evaluated the ability of a local analgesic solution administered into the navicular bursa to attenuate lameness. The response of horses with solar pain in the dorsal or palmar aspect of the foot to 3.5 ml local analgesic solution administered into the navicular bursa was examined. Lameness was induced in 6 horses by creating solar pain in the dorsal aspect of one forefoot and, at another time, the palmar aspect of the other forefoot, with set-screws inserted into a custom-made shoe. Horses were videotaped trotting before and after application of set-screws and after administering 3.5 ml local analgesic solution into the navicular bursa. Lameness scores were assigned by examining videotaped gaits. Scores were significantly lower (P<0.05) for all horses with set-screws applied to the dorsal margin of the sole after administration of local analgesic solution into the navicular bursa. In conclusion, analgesia of the navicular bursa was less effective in desensitising the angles of the sole than in desensitising the dorsal margin of the sole. Pain arising from the sole should not be excluded as a cause of lameness when lameness is attenuated by analgesia of the navicular bursa.

Anesthetics, Local↗

Pathogenicity of cell culture-derived and bursa-derived infectious bursal disease viruses in specific-pathogen-free chickens.

That passage of infectious bursal disease virus (IBDV) 30 and 40 times in an established cell line (BGM-70) resulted in loss of pathogenicity has been reported; however, both viruses maintained antigenicity and immunogenicity. That the passaged virus might have lost some ability to replicate in the natural host, resulting in lack of antigenic stimulation and a poor immune response, was speculated. In this study, the pathogenicity and the replication of the serorype 1 variant IN strain were investigated in specific-pathogen-free (SPF) chickens. The original bursa-derived virus was passaged 10 times (low passage [LP]) and 47 times (high passage [HP]) in BGM-70 cells. Two concentrations of the LP virus were used for inoculation of different groups of birds, high titer 1.5 x 10(5) 50% mean embryo infective dose (EID50) and low titer 1.5 x 10(2) EID50. Birds inoculated with the bursa-derived virus had significantly (P < 0.05) small bursas with severe inflammation and necrosis throughout the 21-day experimental period. Bursa and spleen/body weight ratios and bursal lesion scores of the birds inoculated with the LP and HP viruses were not significantly different from those of the uninoculated control group at any time postinoculation (PI). Virus replication in the bursa of Fabricius was investigated by virus isolation in SPF chicken embryos, immune electron microscopy (IEM), immunofluorescence (IF), and antigen-capture enzyme-linked immunosorbent assay (AC-ELISA). The virus was isolated from bursal tissues from birds inoculated with the bursa-derived virus from day 3 (first isolation attempt) through day 10 PI, and the highest virus concentration was detected at 3 days PI. Low virus titer was detected only at 3 days PI in chicken embryos inoculated with the bursal homogenates from birds inoculated with the LP virus at a high dose or the HP virus. No virus was isolated from birds inoculated with the LP virus at a low dose or the uninoculated control group. The virus antigen was also detected in bursal tissues collected from birds inoculated with the bursa-derived virus at 3, 5, and 7 days PI by IEM and AC-ELISA and until day 10 PI by IF. No virus antigen was detected in bursal tissues collected from birds inoculated with the cell culture-adapted viruses by embryo inoculation, IEM, IF, or AC-ELISA. The virus or its RNA was detected in the bursal homogenates up to 21 days PI by reverse transcriptase/polymerase chain reaction. These results indicated that adaptation of IBDV to BGM-70 cell culture resulted in a significant reduction in the ability of the virus to replicate in the bursa of Fabricius, and, consequently, no lesions were detected.

Animals↗

Tissue changes in enlarged sternal bursas of turkeys.

Enlarged sternal bursas evident in turkeys beyond 12 weeks of age were examined grossly and microscopically in 169 turkeys 3 to 26 weeks old. Grossly, the enlarged sternal bursas were sacs of varied size and wall thickness containing fluid in amounts from a fraction of a milliliter up to 70 ml. The fluid was usually the consistency of serum but was sometimes viscid, and in infected bursas it would be purulent. Its color varied from amber to red to dark brown depending on the amounts of and the changes in the blood pigments. The synovial membranes were smooth and glistening and of variable thicknesses. Strands or cords of the synovial membrane of variable thickness and number extended from side to side of the sac. Microscopically, the synovial membrane was focally thickened in the small bursas and generally thickened in the larger bursas. The thickening was the result of an increase in the very cellular fibrous tissue and in the number and size of blood vessels. The lining cells were flat fibrocytes one cell thick in the smaller bursas, and round stratified cells in the larger bursas. In infected bursas, mononuclear and heterophilic infiltration occurred. Hemorrhaging occurred quite often, the result of trauma to the highly vascular synovial membrane.

Animals↗

Role of environmental antigens in B cell proliferation in the bursa of Fabricius at neonatal stage.

Effect of environment antigens on S phase entry rate of bursa cells was studied by utilizing in vivo incorporation of bromodeoxyuridine (BrdUrd). S phase entry rate of bursa cells in chick embryo was determined to be 6.4%/h, this rate increased to 10.0%/h at neonatal stage and decreased to 6.4%/h 6 weeks after hatching. Evidence is presented that isolation of the bursa from the gut before hatching suppressed S phase entry rate of bursa cells after hatching, whereas S phase entry rates of thymocytes were not affected. On tissue sections, a decrease of BrdUrd+ cells was observed in medullary areas of the isolated bursa. It is proposed that in situ stimulation of bursa cells by environmental antigens to the bursa accelerates S phase entry rates, and that medullary areas are the major sites for antigen-driven B cell proliferation after hatching.

Age Factors↗

Lymphoid antigenic determinants of the chicken: ontogeny of bursa-dependent lymphoid tissue.

The ontogenic development of the bursa-dependent lymphoid tissue in the chicken has been studied using rabbit antisera specific for B lymphocyte sub-populations and two elements of the bursal microenvironment. The antigens investigated were: the chicken B lymphocyte antigen ( CBLA ); mature B lymphocyte antigen ( CMBLA ); a foetal-associated antigen ( CFAA ) present on embryonic haemopoietic cells and adult bone marrow and bursa cells; immunoglobulin (Ig) and IgG; a bursa-specific cortical reticulin fibre antigen ( CBRFA ); a gut-associated mucin antigen ( CGAMA ) present on bursal medullary reticular epithelial (REp) cells. The development of suspected precursor cells was examined using a rabbit antiserum specific for foetal spleen cells. The major finding was the interrelationship between developing B cells and the bursal microenvironment. The first CBLA - and CFAA -positive cells were detected in the bursa at day 8 of incubation but their precise localization was difficult to assess. In 12-15 day embryos, both these cells were found predominantly in the tunica-propria in close proximity to cells bearing the reticulin fibre antigen CBRFA . This close association between CBLA -, CFAA - and CBRFA determinants represents the earliest stages of B cell differentiation and mimics that found in the adult bursa cortex. By day 18, the majority of bursa cells expressed CBLA and Ig and were localized in the developing medullary follicles, the REp cells of which were CGAMA -positive, demonstrating a very early interaction between intestinal tract contents, bursal REp cells and B cell maturation. Around hatching some bursa cells showed a marked increase in the membrane expression of CBLA and Ig, and the simultaneous expression of CMBLA and IgG. These cells were present in medullary follicles; CBRFA was present on cortical reticulin fibres which provided a supporting framework for the more immature CFAA -positive cells.

Animals↗

In vitro organ culture of embryonic bursa of Fabricius.

An in vitro method for organ culture of embryonic bursa of Fabricius is presented. It is shown that bursa cells proliferate in in vitro culture as evidenced by [3H]-thymidine incorporation. We assessed the expression of B-cell alloantigen (Bu-la and Bu-lb), class I (B-F) and class II (B-L) antigens of chicken major histocompatibility complex (MHC), and surface immunoglobulin (sIg) on cultured bursa cells using specific monoclonal antibodies (mAb). Cells from 13-day and 14-day embryonic bursae incubated in organ culture for 1 to 2 weeks developed characteristic patterns of surface phenotype observed in adult chicken except for B-F antigen, whose expression was much lower than in vivo. These results indicate that the maturation of bursa cells in organ culture follows the in vivo development, except for the expression of MHC class I antigens. Furthermore, we demonstrate the in vitro repopulation of bursae from cyclophosphamide(cy)-treated chickens by cells from Bu-l antigen disparate normal bursae.

Animals↗

Morphological variants of the suprapatellar bursa.

Two hundred and ten specimens were examined anatomically to study the different shapes of the suprapatellar bursa. It is possible to classify the morphologic variants of the suprapatellar bursa into three types. A bursa not subdivided was found in 83% and named Type A. A bursa subdivided by a vertical septum at the lateral side of the suprapatellar bursa was seen in 17% of the knee joints. The vertical septum was complete in 9% (Type B), incomplete in 8% (Type C) of the cases. It separated the bursa into a main medial part and a small lateral saccular space. There was no corresponding subdivision at the medial side. A space proximal to the suprapatellar bursa was found in two cases.

Adult↗

Podotrochlear bursa endoscopy in the horse: a cadaver study.

OBJECTIVES: To evaluate podotrochlear bursa (navicular bursa) endoscopy as a diagnostic technique in horses and to correlate observations to radiographic and pathologic findings. STUDY DESIGN: Descriptive study. SAMPLE POPULATION: Seventeen equine cadaver forelimbs. METHODS: Five standard radiographic views of the navicular region and a bursographic study with lateromedial and caudal tangential radiographic views were taken of each forelimb. Radiographic scoring of the navicular bone (0, excellent; 1, good; 2, fair; 3, poor) was performed using a previously reported technique. Endoscopic examination was performed using a 30 degrees wide-angle forward oblique-viewing, 4-mm outside diameter (OD), arthroscope. Four examiners using recorded videotapes made independent evaluations of bursal endoscopy. The specimens were then dissected and examined to verify radiographic and endoscopic findings. RESULTS: The distribution of radiographic scores (RS) were 0 (5 limbs), 1 (7), 2 (2), and 3 (3). Abnormal endoscopic findings (fibrillation of the deep digital flexor tendon, a defect in the navicular bone fibrocartilage, and synovial hyperplasia) were identified in 3 limbs (2 with an RS of 1, and 1 with an RS of 3). The endoscopic observations made in the two RS 1 bursae were not confirmed on gross examination, whereas they were in the RS 3 specimen, which also had the only abnormal bursogram. Evaluation of the bursa on the side ipsilateral to the arthroscope portal was difficult. Complications of the technique included inadvertent penetration of the distal interphalangeal joint and the digital sheath, and superficial scoring of the navicular bone fibrocartilage. CONCLUSIONS: Podotrochlear bursa endoscopy is feasible and may be a useful technique in identifying early abnormalities associated with podotrochleosis. CLINICAL RELEVANCE: In horses with podotrochleosis, endoscopic examination of the podotrochlear bursa may improve identification of pathologic changes within the bursa.

Animals↗

A comparison of responses to analgesia of the navicular bursa and intra-articular analgesia of the distal interphalangeal joint in 59 horses.

Analgesia of the distal interphalangeal (DIP) joint and of the navicular bursa was performed independently in the lame or lamer forelimb of 59 horses, in which lameness was significantly improved by perineural analgesia of either the palmar digital or palmar (abaxial sesamoid) nerves. In 3 horses no improvement was detected. Lameness was improved by analgesia of the DIP joint but there was no response to analgesia of the navicular bursa in 3 horses. In 12 horses, lameness was improved by analgesia of the navicular bursa but intra-articular analgesia resulted in no change. Forty-one horses responded both to analgesia of the navicular bursa and intra-articular analgesia of the DIP joint. Synovial fluid was retrieved from all DIP joints but from only one navicular bursa. It is suggested that a positive response to analgesia of the DIP joint does not necessarily imply that pain arises from the joint per se, but a positive response to intra-bursal analgesia probably reflects pathology of the bursa per se, the navicular bone and/or supporting ligaments and/or the DDFT. Radiographic abnormalities of the navicular bone in the lame or lamer limb were detected in 35 horses, all of which showed some response to analgesia of the navicular bursa. In 25 of these horses (71%) changes were only identifiable in the palmaroproximal-palmarodistal oblique views.(ABSTRACT TRUNCATED AT 250 WORDS)

Analgesia↗

Involvement of the anterior portion of the subacromial-subdeltoid bursa in the painful shoulder.

OBJECTIVE: The purpose of our study was to verify that increased widening of the anterior portion of the subacromial-subdeltoid bursa is associated with anteromedial shoulder pain. MATERIALS AND METHODS: Bursography, sonography, and CT were performed in six cadaver shoulders and compared with anatomic sections in neutral position and while the humerus was extended and internally rotated. For the clinical study, the width of the anterior portion of the bursa was measured in both positions in both shoulders of 27 patients referred because of shoulder pain and in eight asymptomatic volunteers. Pain was coded as absent, experienced in the anteromedial portion of the shoulder, or experienced elsewhere but not anteromedially, and we compared the pain scores between shoulder positions. RESULTS: In all cadaver shoulders, when compared with CT scans and anatomic sections, sonography showed the morphology of the bursa, its relationships with surrounding structures, and morphologic changes associated with position. In volunteers, the mean width of the bursa was 0.74 +/- 0.05 and 0.93 +/- 0.09 mm (p = 0.013), respectively, in neutral and stress position. In patients, the same values were 0.70 +/- 0.07 and 0.81 +/- 0.14 mm (p = 0.286) in the asymptomatic side and 1.20 +/- 0.11 and 1.75 +/- 0.23 mm (p < 0.001) in the symptomatic side, respectively. The bursa was wider in patients experiencing pain anteromedially than in those who experienced pain elsewhere and volunteers (p = 0.002 and < 0.001, respectively), and the bursa was wider in symptomatic shoulders than in asymptomatic shoulders (p < 0.001). CONCLUSION: Widening of the anterior portion of the subacromial-subdeltoid bursa is associated with anteromedial shoulder pain and the clinical syndrome of coracoid impingement.

Adult↗

The popliteus bursa: an indicator of subtle pathology.

The abnormal contour of the popliteus bursa, as examined on double-contrast arthrography, is an indicator of numerous disorders of the knee. Narrowing, compression, or complete absence of the popliteus bursa is associated with tears of the lateral menisci and with discoid menisci. Absence of the popliteus bursa can also be indicative of adhesive capsulitis, prior surgery, or a rare congenital anomaly. In addition, the popliteus bursa is a reservoir for intraarticular loose bodies. Normal variations of the popliteus tendon can also be observed arthrographically. Anatomic variants and abnormalities of the popliteus bursa are presented with emphasis on the spectrum of possible arthrographic findings. The detection of popliteus bursa abnormalities during arthrography should prompt further detailed examination. The embryology and anatomy of the popliteus bursa are reviewed.

Adolescent↗