Accurate Diagnosis of Pes Anserine Pain: Key Tests You Must Know!

By dpope2020

November 22, 2024

adductor stretch, bursitis, dan pope, fitness pain free, goose foot pain, inner knee pain, Knee, knee bursitis, knee pain, knee pain exercises, knee pain treatment, mcl insufficiency, meniscus pathology, patella femoral pain, pes anserine anatomy, pes anserine bursitis, pes anserine diagnosis, pes anserine pain, pes anserinus, physical therapist, physical therapy, physical therapy tips, physiotherapy, sartorius muscle

Accurate Diagnosis of Pes Anserine Pain: Key Tests You Must Know!

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In today's video we go over Accurate Diagnosis of Pes Anserine Pain: Key Tests You Must Know!

Are you struggling with diagnosing of pes anserine pain in your patients? In this video, I'll guide you through the clinical examination process for pes anserine pain, also known as "the goose foot." This condition often presents unique symptoms and challenges, but with the right approach, you can accurately diagnose and effectively manage it.

Key Takeaways:

➡️ Definition of pes anserine pain. It's located on the front and medial side of the knee. It’s more common in women over 40, patients with knee osteoarthritis, valgus knee issues, or knee instability, such as MCL insufficiency.

➡️ Examine the anatomy. The pes anserine involves the gracilis, sartorius, and semitendinosus muscles, which converge to reduce valgus forces at the knee. It's common in athletes engaged in sports requiring cutting and pivoting movements.

➡️ Diagnostic steps: Identify pain during step-down tasks, perform hamstring length tests, stretch adductors, and conduct manual muscle testing for knee flexors and adductors to provoke symptoms.

➡️ Differential diagnosis: Identify pes anserine pain and differentiate from from meniscus pathology, osteoarthritis, or MCL injuries by focusing on symptom location and testing joint line tenderness, passive range of motion, and valgus stress.

Learn how to accurately diagnose and manage pes anserine pain in your patients. Watch now to upgrade your skills and help your patients recover faster!

TIMELINE

  • 00:00 - Intro
  • 00:23 - Pes anserine pain overview
  • 00:39 - Common populations
  • 02:01 - Symptom location
  • 02:50 - Diagnostic steps
  • 04:47 - Differential diagnosis

Diagnosis Verified,

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Pes Anserinus Tendons. Image shows the distance between the insertion of the pes anserinus and the knee joint, which should be considered in the physical examination. Helfenstein Jr M, Kuromoto J. Anserine syndrome [in Portuguese]. Rev Bras Reumatol. 2010;50(3):313-327.

  2. Medial View of the Knee. The image shows the relationship between the tendons that form the pes anserinus and the anserine bursa, implying a difficult clinical and imaging diagnosis. Helfenstein Jr M, Kuromoto J. Anserine syndrome [in Portuguese]. Rev Bras Reumatol. 2010;50(3):313-327.

  3. Mohseni M, Mabrouk A, Li DD, et al. Pes Anserine Bursitis. [Updated 2024 Jan 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532941/

  4. Pes Anserine Bursitis Copyright © 2024, StatPearls Publishing LLC. This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

  5. Alvarez-Nemegyei J. Risk factors for pes anserinus tendinitis/bursitis syndrome: a case control study. J Clin Rheumatol. 2007 Apr;13(2):63-5. doi: 10.1097/01.rhu.0000262082.84624.37. PMID: 17414530.

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