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Bursitis, Pes Anserine (Pes Anserine Syndrome)

Jennifer Schwartz, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • The pes anserinus is the combined insertion of the sartorius, gracilis, and semitendinosus tendons on the anteromedial tibia (approximately5 cm distal to the medial joint line).

    • The s...

DIAGNOSIS

Largely a clinical diagnosis (although sensitivity and specificity of clinical findings may be low and PATB can be confused with other medial sided knee pathologies) (1)[C

HISTORY

  • Medial kn...

TREATMENT

  • Pes anserine bursitis is often self-limited, but it can recur.

  • Conservative therapy is preferred:

    • Relative rest and activity modification to avoid offending movements (especially kne...

ONGOING CARE

Physical therapy with home exercise program focusing on flexibility and strengthening 

DIET

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

REFERENCES

1
Atici A, Ulger F, Akpinar P, et al. Poor Accuracy of Clinical Diagnosis in Pes Anserine Tendinitis Bursitis Syndrome. Indian J Orthop. 2022;56:116-124.
2
Homayouni K, Foruzi S, Kolhori F. Ef...

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.

  • ...

CODES

ICD10

  • M70.50 Other bursitis of knee, unspecified knee

SNOMED

73105000 pes anserinus bursitis (disorder) 

CLINICAL PEARLS

  • Consider pes anserine syndrome in patients presenting with medial knee pain, especially those with persistent symptoms associated with medial sided OA.

  • Tenderness over the insertion of ...

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