Anserine bursal distention: Diagnosis by ultrasonography and computed tomography

Voorneveld, Colin R.; Arenson, Anna Marie; Fam, Adel G.

doi:10.1002/anr.1780321025

Cited by 12 publications

(7 citation statements)

References 5 publications

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“…Notably, the authors pointed out that distension of the anserine bursa is not synonymous with the clinical syndrome of anserine bursitis, because the case patient did not have any symptoms pertaining to the knee, and that the clinical syndrome of anserine bursitis actually may be a tendinitis or a fascitis involving the insertions of the pes anserinus tendon. In another report, anserine bursa was visualized both by ultrasonography and CT (11). In accordance with our result, ultrasonography demonstrated a cystic mass located on the anteromedial surface of the proximal tibia.…”

Section: Discussionmentioning

confidence: 99%

Correlation between Ultrasonographic Findings and The Response to Corticosteroid Injection in Pes Anserinus Tendinobursitis Syndrome in Knee Osteoarthritis Patients

et al. 2005

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The objectives of this study were to assess the ultrasonographic (US) findings in patients with knee osteoarthritis (OA) with pes anserinus tendinitis or bursitis (PATB) syndrome and to determine the correlation between the US findings and the response to local corticosteroid injection. We prospectively studied 26 patients with knee OA with clinically diagnosed PATB syndrome. A linear array 7 MHz transducer was used for US examination of the knee. Seventeen patients were injected locally with tramcinolone acetonide in the anserine bursa area. Response to local corticosteroid injection was evaluated by pain visual analog scale (VAS), Western Ontario and MacMaster (WOMAC) osteoarthritis index and Global patient/physician assessment using Likert scale. On US examination, only 2 patients (8.7%) showed evidence of PATB. Pain VAS, WOMAC pain index and WOMAC physical function index improved significantly after corticosteroid injection. Global patient assessment revealed that 2 patients showed best response, 6 good, 1 fair, 8 the same, and none worse. It is of note that the 2 patients who showed the best response were those who showed US evidence of PATB. This finding shows that US can serve as a useful diagnostic tool for guiding treatment in PATB syndrome of OA patients.

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Section: Discussionmentioning

confidence: 99%

Correlation between Ultrasonographic Findings and The Response to Corticosteroid Injection in Pes Anserinus Tendinobursitis Syndrome in Knee Osteoarthritis Patients

et al. 2005

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“…[4] Ultrasonography can facilitate the diagnosis of PAB. [56] However, in most suspected cases ultrasound findings are lacking. [7] In a study, only 2.5% of these patients showed radiologic signs of PAB in magnetic resonance imaging (MRI);[38] therefore the diagnosis of PAB cannot be based solely on MRI findings, but it is helpful for ruling out other structural causes of proximal tibial pain such as stress fracture and bone cysts.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effect of Extracorporeal Shock Wave Therapy on reducing Chronic Pain in Patients with Pes Anserine Bursitis: A Randomized, Clinical- Controlled Trial

2017

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Background:Knee pain, is one of the most common causes of patients’ referring to physiatric clinics, and several factors, are involved in its creation. One of these factors is pes anserine bursitis (PAB) for which various treatment methods are used. This study aims to investigate the effect of this method on reducing chronic pain in these patients.Materials and Methods:This clinical trial was conducted in 2013- 2014 on patients with PAB referring to academic, physical medicine clinics. The patients with chronic PAB (pain duration more than 3 months), who were refractory to conservative treatments, were randomly divided into two 20-member experimental groups (extracorporeal shock wave therapy [ESWT] and sham ESWT). Pain scores of all patients were measured using the Visual Analog Scale (VAS) and McGill Pain Questionnaire (MPQ) (total and present pain indexes [TPIs and PPIs]) before intervention, immediately after intervention (3rd week), and after 8 weeks. The pain scores were then compared and statistically analyzed.Results:In the ESWT group, the mean patient pain score of the VAS and TPI in MPQ were significantly lower than in the sham ESWT group immediately after intervention (3rd week): P =0.02, P = 0.04 respectively; and 8 weeks after the end of treatment: P =0.01, P = 0.000. Moreover, the PPI in both groups had significantly decreased over time, although in ESWT group this decrement was significantly more than sham ESWT group (P < 0.001).Conclusion:The results showed that ESWT could be effective in reducing the pain and treating PAB.

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“…Patients with this condition have tenderness to palpation in the region of their pes anserinus bursa and may have local edema [1,13]. Diagnosis of pes anserinus tendino-bursitis is clinical, but diagnostic studies such as ultrasonography, computed tomography and magnetic resonance imaging can be used to diagnose this condition [21][22][23][24][25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of pes anserinus tendino-bursitis includes refraining from aggravating activities, local modalities such as heat, ice, ultrasound (US), iontophoresis, phonophoresis, electrical stimulation (ES), Downloaded by [University of Nebraska, Lincoln] at 23:58 13 June 2016 transcutaneous electrical nerve stimulation (TENS), nonsteroidal anti-inflammatory drugs (NSAIDs) and injections with either corticosteroids or local anesthetics [1,3,[5][6][7]9,14,16,18,[21][22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: A randomized comparative clinical trial

Homayouni

Foruzi

Kalhori

2016

The Physician and Sportsmedicine

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Anserine bursal distention: Diagnosis by ultrasonography and computed tomography

Cited by 12 publications

References 5 publications

Correlation between Ultrasonographic Findings and The Response to Corticosteroid Injection in Pes Anserinus Tendinobursitis Syndrome in Knee Osteoarthritis Patients

Correlation between Ultrasonographic Findings and The Response to Corticosteroid Injection in Pes Anserinus Tendinobursitis Syndrome in Knee Osteoarthritis Patients

Investigating the Effect of Extracorporeal Shock Wave Therapy on reducing Chronic Pain in Patients with Pes Anserine Bursitis: A Randomized, Clinical- Controlled Trial

Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: A randomized comparative clinical trial

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