Knee & Shoulder Surgeon - Orthopedic Specialist
Knee & Shoulder Surgeon - Dr. Amyn Rajani
M.S Orth (Gold Medallist), D-Orth, MBBS
Knee and Shoulder Surgeon
(Arthroscopy & Joint Reconstruction)
Orthopaedic Arthroscopy Knee & Shoulder Clinic (OAKS)

Pesanserinus Bursitis

pes anserine knee tendon bursit
» Introduction
The pes anserine bursa is a small lubricating sac located between the shinbone (tibia) and three tendons of the hamstrings muscle at the inside of the knee. Pes anserinus bursitis is the inflammation of this bursa.

» Causes :
Pes anserine bursitis is common in athletes, particularly runners & patients with osteoarthritis of the knee.

Factors predisposing to pes anserinus bursitis :
  • Doing excessive hill running, and sudden increases in the distance of running
  • Tight hamstring muscles
  • Obesity
  • Osteoarthritis of the knee

pesanserinus bursitis
» Clinical Features :
  • Pain slowly developing on the inside of your knee and/or in the center of shinbone, approximately 2-3 inches below the knee joint.
  • Pain increasing with exercise or climbing stairs.

  • » Investigations :
    An X-ray done to rule out a stress fracture

    » Conservative Management :
    1. Rest
    2. Ice
    3. Anti-inflammatory medications
    4. Local Injection

    » Surgical Management :
    Surgical management is rarely indicated but excision of the symptomatic bursa can be done if there is intolerable pain.

    Copyrights 2011 Dr. Amyn Rajani. All Rights Reserved.
    Facebook-Dr. Amyn Rajani Twitter-Dr. Amyn Rajani LinkedIn-Dr. Amyn Rajani Blog