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Usually, it does not communicate with the knee. 1 The anserine bursa is one of 13 bursae found around the knee, being located immediately below the pes anserinus ( Figures 1 and 2). Those muscles are primarily flexors of the knee with a secondary influence on the internal rotation of the tibia, protecting the knee against rotation and valgus stress.
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The combined insertion of the sartorius, gracilis, and semitendinous tendons, approximately 5 cm distally of the medial portion of the knee, forms a structure that resembles the natatory membrane of the goose, therefore it has been called "goosefoot" or, from the Latin, pes anserinus. Keywords: anserine bursitis, anserine tendinitis, pes anserinus tendino-bursitis, pes anserinus. IIRheumatologist Expert Consultant of INSS - Paraná IAssistant Rheumatology Physician of the Escola Paulista de Medicina - UNIFESP The lack of knowledge about its epidemiological, etiological, and pathophysiological aspects requires future studies for this common and intriguing disorder.Īnserine bursitis anserine tendinitis pes anserinus tendino-bursitis pes anserinus Treatment includes non-steroidal anti-inflammatory drugs, physiotherapy, and injections of corticosteroid, with highly variable responses, from 10 days to 36 months to achieve recovery. Overweight and osteoarthritis seem to represent additional risk factors however, their role in the pathophysiology of the disease is not yet understood. Diabetes Mellitus is a known predisposing factor for this syndrome. Due to these problems and some controversies, we suggest the term "anserine syndrome" for this condition. Nevertheless, little is known regarding the structural defect responsible for this disturbance. Studies with different imaging modalities have been undertaken during the last years to identify whether these patients suffer from bursitis, tendinitis, or both. Patients complain of characteristic spontaneous medial knee pain with tenderness in the inferomedial aspect of the joint. Knee pain is a common complaint in clinical practice, and pes anserinus tendino-bursitis syndrome (PATB) has been frequently diagnosed based only on clinical features that may cause equivocal interpretations. A falta de conhecimento sobre a etiofisiopatologia e dados epidemiológicos exige futuros estudos para esse frequente e intrigante distúrbio.īursite anserina tendinite da pata de ganso síndrome da bursite/tendinite anserina pata de ganso O tratamento atual inclui anti-inflamatório, fisioterapia e infiltração de corticoide, com evolução muito variável, que oscila entre 10 dias e 36 meses. O sobrepeso e a osteoartrite de joelho parecem ser fatores adicionais de risco, contudo, seus papéis na gênese da moléstia ainda não são bem entendidos. O diabetes mellitus é um fator predisponente bem reconhecido. Entretanto, o defeito estrutural responsável pelos sintomas permanece desconhecido, motivo pelo qual preferimos intitular como "Síndrome Anserina". Estudos de imagem têm sido realizados para esclarecer se tais pacientes possuem bursite, tendinite ou ambos os distúrbios na região conhecida como pata de ganso. Os pacientes queixam-se tipicamente de dor na parte medial do joelho, com sensibilidade na porção ínferomedial. O diagnóstico tem sido realizado de maneira eminentemente clínica, o que tem gerado equívocos.
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Dor no joelho é uma condição comum na clínica diária e a patologia anserina, também conhecida como pata de ganso, tem sido considerada uma das principais causas.