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Pes anserinus tendinitis/bursitis syndrome, or pes anserine bursitis, is a cause of chronic knee pain and weakness. [3] [4] It occurs when the medial portion of the knee is inflamed. If the bursa underlying the tendons of the sartorius, gracilis, and semitendinosus gets irritated from overuse or injury, a person can develop this ailment. This ...
Pes anserine bursitis can be treated with a variety of physical therapy treatments, steroids to reduce inflammation, or surgery if necessary. Physical therapy treatments include therapeutic ultrasound, electrical stimulation (E-stim), rehabilitative exercises, and ice. [ 2 ]
[7]: p. 22 Along with the pes anserine bursa, the prepatellar bursa is one of the most common bursae to cause knee pain when inflamed. [9] Prepatellar bursitis is caused by either a single instance of acute trauma to the knee, or repeated minor trauma to the knee.
These include the subacromial, prepatellar, retrocalcaneal, and pes anserinus bursae of the shoulder, knee, heel and shin, etc. (see below [broken anchor]). [1] Symptoms vary from localized warmth and erythema (redness) [ 1 ] to joint pain and stiffness, to stinging pain that surrounds the joint around the inflamed bursa.
The anserine bursa (tibial intertendinous bursa) is a sub muscular bursa located deep to the pes anserinus on the anteromedial proximal tibia. Pes anserine bursitis is a common inflammatory condition of the anserine bursa.
This tendon curves anteriorly to join the tendons of the gracilis and semitendinosus muscles in the pes anserinus, where it inserts into the superomedial surface of the tibia. [3] Its upper portion forms the lateral border of the femoral triangle, and the point where it crosses adductor longus marks the apex of the triangle.
The sartorius acts as a flexor on both the hip and knee, but, due to its oblique course, also contributes to medial rotation of the leg as one of the pes anserinus muscles (with the knee flexed), and to lateral rotation of the hip joint. [23] There are four posterior thigh muscles.
[2] [9] This distal attachment is the stronger of the two and makes up the floor of the pes anserine bursa. The proximal tibial attachment of the sMCL is the primary stabilizer to valgus force on the knee, whereas the distal tibial attachment is the primary stabilizer of external rotation at 30° of knee flexion. [3] [9]
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