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
- Osteoarthritis of the knee
» 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 :
- Anti-inflammatory medications
- Local Injection
» Surgical Management :
Surgical management is rarely indicated but excision of the symptomatic bursa can be done if there is intolerable pain.