How is pes anserine bursitis diagnosed?

Updated: May 08, 2018
  • Author: P Mark Glencross, MD, MPH, FACOEM, FAAPMR; Chief Editor: Milton J Klein, DO, MBA  more...
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Answer

The diagnosis of pes anserine bursitis usually is made on clinical grounds, and further workup is not necessarily indicated. In unusual cases (those that are persistent or suggestive of infection), a further workup can be obtained. In the rare cases where infection appears possible, appropriate laboratory studies may be ordered. If other pathology is suggested, radiography, radionuclide bone scanning, rheumatoid factor measurement, or other rheumatologic testing should be considered.

A diagnostic or therapeutic lidocaine or lidocaine-corticosteroid injection into the area of the pes anserine bursa may help the clinician to determine the contribution of pes anserinus bursitis to a patient’s overall knee pathology, as well as possibly alleviate the patient’s symptoms.


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