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Foot/ankle Plantar fasciitis Achilles tendonitis Ankle sprain Stress fracture Turf Toe
Calf/Lower Leg Shin splints Tibial stress fracture Compartment syndrome Gastrocnemius strain
Knee Patellofemoral syndrome illiotibial band syndrome Anterior Cruciate Ligament Injury Patellar tendonitis Cartilage injury Knee Arthritis Pes anserine bursitis
Hip Trochanteric bursitis Groin Pull Piriformis syndrome Hamstring strain Hip Ostenonecrosis Hip Arthritis
Shoulder Shoulder Adhesive Capsulitis Dislocation Burners/stingers Shoulder Separation Arthritis Rotator Cuff Injury
Elbow Biceps tendon Rupture Lateral Epicondylitis Dislocation Olecronon Bursitis Biceps Tendonitis Medial Epicondylitis
Wrist/ hand Flexor Tendon Injury Mallet Finger Ulnar Collateral Injury of Thumb
PES ANSERINE BURSITIS

PES ANSERINE BURSITIS

DEFINITION:

  • Inflammation of the bursa (sack of fluid), which lies between the tendons on the inner (medial) side of the knee and the proximal (upper) tibia. (See illustration).

MECHANISM OF INJURY / HOW IT OCCURS:

  • A result of overuse and friction causing an increase in fluid formation in the bursa.
  • Often seen in runners and cyclists.

SYMPTOMS:

  • Individuals will complain of pain at inner knee region approximately 2-3 inches below the joint line.
  • Symptoms aggravated with activity

DIAGNOSIS:

  • Physical examination reveals tenderness over bursa.
  • May detect swelling.
  • Radiographic studies may be considered to rule out stress fracture.

TREATMENT/REHABILITATION:

  • Rest, ice, and anti inflammatory medications (NSAIDs) are initial treatment modalities.
  • A cortisone injection may be considered by a physician, especially if symptoms persist.
  • Cross training while recovering from injury.
  • Cyclists may need to adjust their cleat position to avoid external rotation of the tibia. (See bicycle set up recommendations).

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