Pes anserine bursitis: Difference between revisions
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{{Infobox medical condition | |||
[[File:Slide2DADE.JPG|Pes anserine bursitis | | name = Pes anserine bursitis | ||
| image = [[File:Slide2DADE.JPG|left|thumb|Pes anserine bursitis]] | |||
| caption = Pes anserine bursitis | |||
| synonyms = Anserine bursitis, Pes anserinus pain syndrome | |||
| specialty = [[Orthopedics]], [[Rheumatology]] | |||
| symptoms = [[Knee pain]], [[tenderness]] on the inner side of the knee | |||
| complications = [[Chronic pain]], [[reduced mobility]] | |||
| onset = Gradual | |||
| duration = Can be [[chronic]] | |||
| causes = [[Overuse]], [[obesity]], [[osteoarthritis]], [[trauma]] | |||
| risks = [[Obesity]], [[knee osteoarthritis]], [[female gender]], [[middle-aged]] | |||
| diagnosis = [[Physical examination]], [[medical history]], [[imaging]] | |||
| differential = [[Medial meniscus tear]], [[osteoarthritis]], [[tendinitis]] | |||
| treatment = [[Rest]], [[ice]], [[physical therapy]], [[NSAIDs]], [[corticosteroid injections]] | |||
| medication = [[Nonsteroidal anti-inflammatory drugs]] | |||
| prognosis = Good with treatment | |||
| frequency = Common in [[middle-aged women]] | |||
}} | |||
'''Pes anserine bursitis''' is an inflammatory condition of the [[bursa]] located between the [[tibia]] and the three tendons of the [[pes anserinus]] at the medial aspect of the knee. This condition is often associated with pain and tenderness in the inner knee region, particularly when climbing stairs or engaging in activities that put stress on the knee joint. | '''Pes anserine bursitis''' is an inflammatory condition of the [[bursa]] located between the [[tibia]] and the three tendons of the [[pes anserinus]] at the medial aspect of the knee. This condition is often associated with pain and tenderness in the inner knee region, particularly when climbing stairs or engaging in activities that put stress on the knee joint. | ||
== Anatomy == | == Anatomy == | ||
The [[pes anserinus]] is a conjoined tendon formed by the [[sartorius]], [[gracilis]], and [[semitendinosus]] muscles. These muscles insert into the anteromedial surface of the proximal tibia. The pes anserine bursa is a small, fluid-filled sac that reduces friction between the tendons and the tibia. Inflammation of this bursa leads to the condition known as pes anserine bursitis. | The [[pes anserinus]] is a conjoined tendon formed by the [[sartorius]], [[gracilis]], and [[semitendinosus]] muscles. These muscles insert into the anteromedial surface of the proximal tibia. The pes anserine bursa is a small, fluid-filled sac that reduces friction between the tendons and the tibia. Inflammation of this bursa leads to the condition known as pes anserine bursitis. | ||
== Causes == | == Causes == | ||
Pes anserine bursitis can be caused by a variety of factors, including: | Pes anserine bursitis can be caused by a variety of factors, including: | ||
* '''Overuse''': Repetitive stress from activities such as running, cycling, or stair climbing can irritate the bursa. | * '''Overuse''': Repetitive stress from activities such as running, cycling, or stair climbing can irritate the bursa. | ||
* '''Trauma''': Direct trauma to the inner knee can lead to inflammation of the bursa. | * '''Trauma''': Direct trauma to the inner knee can lead to inflammation of the bursa. | ||
| Line 18: | Line 29: | ||
* '''Knee osteoarthritis''': Degenerative changes in the knee joint can lead to compensatory movements that irritate the bursa. | * '''Knee osteoarthritis''': Degenerative changes in the knee joint can lead to compensatory movements that irritate the bursa. | ||
* '''Improper training techniques''': Poor form during physical activities can increase the risk of developing bursitis. | * '''Improper training techniques''': Poor form during physical activities can increase the risk of developing bursitis. | ||
== Symptoms == | == Symptoms == | ||
Common symptoms of pes anserine bursitis include: | Common symptoms of pes anserine bursitis include: | ||
* Pain and tenderness on the inner side of the knee, approximately 2 to 3 inches below the joint line. | * Pain and tenderness on the inner side of the knee, approximately 2 to 3 inches below the joint line. | ||
* Swelling in the affected area. | * Swelling in the affected area. | ||
* Increased pain with activities such as climbing stairs or getting up from a seated position. | * Increased pain with activities such as climbing stairs or getting up from a seated position. | ||
* Stiffness in the knee joint, particularly in the morning or after prolonged sitting. | * Stiffness in the knee joint, particularly in the morning or after prolonged sitting. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of pes anserine bursitis is primarily clinical, based on the patient's history and physical examination. Key diagnostic features include: | Diagnosis of pes anserine bursitis is primarily clinical, based on the patient's history and physical examination. Key diagnostic features include: | ||
* Tenderness over the pes anserine bursa. | * Tenderness over the pes anserine bursa. | ||
* Pain with resisted knee flexion. | * Pain with resisted knee flexion. | ||
* Absence of joint effusion, which helps differentiate it from other knee pathologies. | * Absence of joint effusion, which helps differentiate it from other knee pathologies. | ||
In some cases, imaging studies such as [[ultrasound]] or [[MRI]] may be used to confirm the diagnosis or rule out other conditions. | In some cases, imaging studies such as [[ultrasound]] or [[MRI]] may be used to confirm the diagnosis or rule out other conditions. | ||
== Treatment == | == Treatment == | ||
Treatment for pes anserine bursitis typically involves conservative measures, including: | Treatment for pes anserine bursitis typically involves conservative measures, including: | ||
* '''Rest''': Avoiding activities that exacerbate symptoms. | * '''Rest''': Avoiding activities that exacerbate symptoms. | ||
* '''Ice therapy''': Applying ice packs to reduce inflammation and pain. | * '''Ice therapy''': Applying ice packs to reduce inflammation and pain. | ||
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* '''Physical therapy''': Exercises to strengthen the muscles around the knee and improve flexibility. | * '''Physical therapy''': Exercises to strengthen the muscles around the knee and improve flexibility. | ||
* '''Corticosteroid injections''': In some cases, a corticosteroid injection may be administered to reduce inflammation. | * '''Corticosteroid injections''': In some cases, a corticosteroid injection may be administered to reduce inflammation. | ||
== Prevention == | == Prevention == | ||
Preventive measures for pes anserine bursitis include: | Preventive measures for pes anserine bursitis include: | ||
* Maintaining a healthy weight to reduce stress on the knees. | * Maintaining a healthy weight to reduce stress on the knees. | ||
* Using proper techniques during physical activities. | * Using proper techniques during physical activities. | ||
* Gradually increasing the intensity of exercise to avoid overuse. | * Gradually increasing the intensity of exercise to avoid overuse. | ||
* Wearing appropriate footwear to provide adequate support. | * Wearing appropriate footwear to provide adequate support. | ||
== See also == | |||
== | |||
* [[Bursitis]] | * [[Bursitis]] | ||
* [[Knee pain]] | * [[Knee pain]] | ||
* [[Tendinitis]] | * [[Tendinitis]] | ||
* [[Osteoarthritis]] | * [[Osteoarthritis]] | ||
[[Category:Musculoskeletal disorders]] | [[Category:Musculoskeletal disorders]] | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
Latest revision as of 15:40, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Pes anserine bursitis | |
|---|---|
 | |
| Synonyms | Anserine bursitis, Pes anserinus pain syndrome |
| Pronounce | N/A |
| Specialty | Orthopedics, Rheumatology |
| Symptoms | Knee pain, tenderness on the inner side of the knee |
| Complications | Chronic pain, reduced mobility |
| Onset | Gradual |
| Duration | Can be chronic |
| Types | N/A |
| Causes | Overuse, obesity, osteoarthritis, trauma |
| Risks | Obesity, knee osteoarthritis, female gender, middle-aged |
| Diagnosis | Physical examination, medical history, imaging |
| Differential diagnosis | Medial meniscus tear, osteoarthritis, tendinitis |
| Prevention | N/A |
| Treatment | Rest, ice, physical therapy, NSAIDs, corticosteroid injections |
| Medication | Nonsteroidal anti-inflammatory drugs |
| Prognosis | Good with treatment |
| Frequency | Common in middle-aged women |
| Deaths | N/A |
Pes anserine bursitis is an inflammatory condition of the bursa located between the tibia and the three tendons of the pes anserinus at the medial aspect of the knee. This condition is often associated with pain and tenderness in the inner knee region, particularly when climbing stairs or engaging in activities that put stress on the knee joint.
Anatomy[edit]
The pes anserinus is a conjoined tendon formed by the sartorius, gracilis, and semitendinosus muscles. These muscles insert into the anteromedial surface of the proximal tibia. The pes anserine bursa is a small, fluid-filled sac that reduces friction between the tendons and the tibia. Inflammation of this bursa leads to the condition known as pes anserine bursitis.
Causes[edit]
Pes anserine bursitis can be caused by a variety of factors, including:
- Overuse: Repetitive stress from activities such as running, cycling, or stair climbing can irritate the bursa.
- Trauma: Direct trauma to the inner knee can lead to inflammation of the bursa.
- Obesity: Excess weight can increase stress on the knee joint, contributing to bursitis.
- Knee osteoarthritis: Degenerative changes in the knee joint can lead to compensatory movements that irritate the bursa.
- Improper training techniques: Poor form during physical activities can increase the risk of developing bursitis.
Symptoms[edit]
Common symptoms of pes anserine bursitis include:
- Pain and tenderness on the inner side of the knee, approximately 2 to 3 inches below the joint line.
- Swelling in the affected area.
- Increased pain with activities such as climbing stairs or getting up from a seated position.
- Stiffness in the knee joint, particularly in the morning or after prolonged sitting.
Diagnosis[edit]
Diagnosis of pes anserine bursitis is primarily clinical, based on the patient's history and physical examination. Key diagnostic features include:
- Tenderness over the pes anserine bursa.
- Pain with resisted knee flexion.
- Absence of joint effusion, which helps differentiate it from other knee pathologies.
In some cases, imaging studies such as ultrasound or MRI may be used to confirm the diagnosis or rule out other conditions.
Treatment[edit]
Treatment for pes anserine bursitis typically involves conservative measures, including:
- Rest: Avoiding activities that exacerbate symptoms.
- Ice therapy: Applying ice packs to reduce inflammation and pain.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications such as ibuprofen can help reduce pain and swelling.
- Physical therapy: Exercises to strengthen the muscles around the knee and improve flexibility.
- Corticosteroid injections: In some cases, a corticosteroid injection may be administered to reduce inflammation.
Prevention[edit]
Preventive measures for pes anserine bursitis include:
- Maintaining a healthy weight to reduce stress on the knees.
- Using proper techniques during physical activities.
- Gradually increasing the intensity of exercise to avoid overuse.
- Wearing appropriate footwear to provide adequate support.
