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✅ Knee MRI Mastery/Chap 3.Collateral Ligaments

(Fig 3-A.50) Pes Anserine Bursitis

by MSK MRI 2024. 5. 14.

https://youtu.be/0O2v9TRYmZ0

https://youtu.be/GSIg93UH3Oc

 

📌Pes Anserinus Bursitis

Pes anserinus bursitis refers to inflammation of the bursa located deep to the conjoined tendons (pes anserinus) on the medial aspect of the knee.

✅ Anatomic Considerations

  • Bursa does not communicate with knee joint cavity
  • Located deep to semitendinosus, gracilis, and sartorius tendons
  • Most frequently distal to joint line along distal superficial MCL and tibial metaphysis

 

✅ Etiology

  • Associated with athletic activity
  • Degenerative arthritis

 

✅ Imaging Findings

  • Increased bursal fluid
  • Thickened bursal wall
  • Surrounding edema
  • Abnormal enhancement
  • Septated fluid collection with bursa superficial to MCL, deep to sartorius/gracilis tendons

★ Anatomic Note

  • Sartorius enveloped by crural fascia layer 1
  • Gracilis/semitendinosus between layers 1 and 2
  • Gracilis tendon within septated fluid, sartorius more superficial

Semin Musculoskelet Radiol. 2016 Feb;20(1):12-25

Stoller's Orthopaedics and Sports Medicine: 

The Knee: Includes Stoller Lecture Videos and Stoller Notes

AJR 2019; 213:1107–1116

 

"Visualizing MSK Radiology: A Practical Guide to Radiology Mastery"

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