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Bursitis, Pes Anserine (Pes Anserine Syndrome)

Jennifer B. Schwartz, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The pes anserinus (“goosefoot”) is the combined insertion of the sartorius, gracilis, and semitendinosus (SGT) tendons on the anteromedial tibia.

  • The pes anserine muscles help flex th...

DIAGNOSIS

HISTORY

  • Medial knee pain is the most common complaint.

  • Pain is located 4 to 6 cm distal to the medial joint line on the anteromedial aspect of the tibia.

  • Pain exacerbated by knee flexion:

    • Goin...

TREATMENT

Pes anserine bursitis is often self-limited. Conservative therapy is most common: 
  • Relative rest and activity modification to avoid offending movements (especially knee flexion)

  • Ice to the aff...

ONGOING CARE

Home exercise program focusing on flexibility and strengthening 

DIET

Consider dietary changes as part of a comprehensive weight-loss program if obesity is a contributing factor. 

PROGNOSIS

M...

REFERENCES

1
1 Uysal F, Akbal A, Gökmen F, et al. Prevalence of pes anserine bursitis in symptomatic osteoarthritis patients: an ultrasonographic prospective study. Clin Rheumatol.  2015;34(3):529...

ADDITIONAL READING

  • Alvarez-Nemegyei J. Risk factors for pes anserinus tendinitis/bursitis syndrome: a case control study. J Clin Rheumatol.  2007;13(2):63–65. {L-End} {L-End} [View Abstract on...

CODES

ICD10

  • M70.50 Other bursitis of knee, unspecified knee

  • M70.51 Other bursitis of knee, right knee

  • M70.52 Other bursitis of knee, left knee

ICD9

726.61 Pes anserinus tendinitis or bursitis 

SNOMED

7310500...

CLINICAL PEARLS

  • Consider pes anserine syndrome in patients presenting with medial knee pain.

  • Pes anserine syndrome is relatively common in athletes and in older, obese patients with OA.

  • Tenderness over ...

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