Pes Anserine Bursitis

  • Inflammation of the bursa that is joined together with the pes anserine tendons that consist of: 

  • Semitendinosus, gracilis, and sartorius 

  • Located along the medial (inside) knee (two inches below knee joint line) 

  • A bursa is a fluid filled vesicle that secretes synovial fluid to reduce friction between tissues and works as a cushion for bones, tendons and muscles

    • Inflammation of a bursa is not usually a sudden onset, it progresses over time and can occur in the shoulder, knee, hip, elbow and big toe.

  • Typically occurs with repetitive motions of knee flexion (bending) and hip adduction or direct trauma to the bursa

  • Can also be secondary to medial meniscus tear/fraying - check knee range of motion (knee should be able to bend to buttock)

  • Risk factors: genu valgus (knocked knees)

  • Signs/Symptoms: 

    • Medial (inside)/anterior (front) knee pain

    • Pain with stairs

    • Swelling and tender to touch

    • Pain with pivoting, kicking, and/or squatting