Front view of knee joint showing pes anserine bursa. A bursa is a thin, slippery, sac-like film that contains a small amount of fluid. A bursa is found between. Pes anserine bursitis is an inflammatory condition of the medial (inner) knee at the anserine bursa, a sub muscular bursa, just below the pes anserinus. Your Care Instructions. Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you start.
|Published (Last):||13 June 2004|
|PDF File Size:||5.50 Mb|
|ePub File Size:||7.22 Mb|
|Price:||Free* [*Free Regsitration Required]|
Pes Anserine Bursitis: An Underdiagnosed Cause of Knee Pain in Overweight Women
An increasing number of overweight middle-aged and older individuals are presenting to health care professionals with knee pain. This problem has proven difficult to treat, which places into question the pathogenesis of knee pain in this population. Although the cause of pain may be clear in cases of severe osteoarthritis with knee swelling and limited range of motion, studies have shown that in cases of mild to moderate arthritis, there is poor correlation between radiographic findings and severity of knee pain.
A number of treatments targeting pathology inside the knee joint have not been proven to be effective or only provide short-term benefit.
Pes Anserinus Bursitis – Physiopedia
These bbursitis oral glucosamine, injections with viscosupplementation or steroids, and arthroscopic debridement. Given that conservative treatments targeting intra-articular pathology in degenerative knees fail to provide consistent, enduring relief, it becomes important to focus on other etiologies of anserien pain.
One condition that causes knee pain in older, overweight women is pes anserine bursitis. A few clinical studies have shown that this condition can be treated successfully with physiotherapy as well as ansegine steroid injection into the pes bursa, which can be performed safely in the office setting. I encounter these cases routinely in older, overweight women referred for knee arthritis or meniscus tear identified on an imaging study.
These individuals demonstrate maximal tenderness over the pes bursa, not on the joint line, and characteristically have quadriceps weakness. Many women who have been referred to me as candidates for knee replacement have avoided surgery with treatment of pes bursitis, which includes a self-directed strengthening program for the hip and knee, and occasionally an injection into the pes bursa. Physicians should place pes anserine bursitis in the differential diagnosis when assessing overweight middle-aged and elderly women with knee pain.
A careful history and physical examination may lead to the correct diagnosis and successful conservative treatment, ansreine avoiding unnecessary surgical procedures based primarily on the findings of imaging studies.
Already a member or subscriber? Bedson J, Croft PR.
The discordance between clinical and radiographic knee osteoarthritis: Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med.
Treatment of osteoarthritis of the knee: J Am Acad Orthop Surg. Kang I, Han SW. Anserine bursitis in patients with osteoarthritis of the knee.
Diagnostic and therapeutic abserine of the hip and knee.
Hospitalization for total knee replacement among inpatients aged 45 and over: Send letters to afplet aafp. Include your complete address, e-mail address, and telephone number.
Letters should be fewer than words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must not be submitted to any other publication.
Possible conflicts of interest must be disclosed at bugsitis of submission.
Knee (Pes Anserine) Bursitis: Exercises
Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.
Want to use this article elsewhere? Cyclobenzaprine in the Treatment of Low Back Pain. Feb 1, Issue. Letters to the Editor Pes Anserine Bursitis: Read the full article. Get immediate ubrsitis, anytime, anywhere.
Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue.
Pes Anserinus Bursitis
See My Options close. To see the full article, log in or purchase access. Email Alerts Don’t miss a gursitis issue. Sign up for the free AFP email table of contents. Continue reading from February 1, Previous: Primary Brain Tumors Next: See My Options close Already a member or subscriber?