Clinical and Ultrasonographic Correlation of Pes Anserinus Bursitis

Abstract

Purpose: Pes anserinus bursitis is a commonly overlooked cause of medial knee pain. It is diagnosed clinically and involves tendons/bursa or both. Majority of studies fail to provide imaging evidence of tendon/bursal pathology in clinically diagnosed patients. This study documents the ultrasonographic findings associated with clinically diagnosed pes anserinus bursitis and correlates between clinical and positive ultrasonographic findings. Methods: A cross-sectional study was done in outpatient department settings of physical medicine and rehabilitation department in participants with clinically diagnosed pes anserinus bursitis. Clinically evaluation was done by Physiatrist and ultrasonographic evaluation by a radiologist. Patient characteristics, clinical findings and ultrasonographic features were documented and studied. Results: In the evaluated 67 knees, Pes anserinus tendonitis (53.73%) with statistical significance ([Formula: see text].0001) was found on ultrasonography over bursitis (2.99%). Abnormal findings involving medial collateral ligament (38.81%), medial meniscus (26.87%), suprapatellar recess (47.76%), and other structures (17.91%) were also documented. Age, gender, body mass index, and duration had no effect on presence of positive ultrasonographic findings. Conclusion: Ultrasonographic changes of tendonitis involving pes anserinus tendons correlate with clinically diagnosed pes anserinus bursitis. The ultrasonography also helps in identifying potential sources of pain other than pes anserinus tendon or bursa in such cases.