2014, Number 3
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ABSTRACTThe pes anserine is a common condition in athletes worldwide. It is managed by rheumatologysts and orthopedics at hospitals worldwide. It is caused by friction or rubbing of the tendons of the muscles: sartorius, gracilis and semitendinosus, found in the inner proximal tibial insertion. These help to flex and internal rotation of the knee, because of clinical symptoms such as pain goes VAS (visual analogue scale) of 2-9, consequently diminishes the quality of life. Diagnostic methods are physical examination, radiographs of knee, ultrasound and magnetic resonance imaging are necessary to rule out other more common conditions of knee medial region. Being the pes anserine an exclusion diagnosis. Treatment begins with physical therapy cold, local heat, and decreased physical activity. Which may be accompanied by oral therapy with nonsteroidal antiinflammatory drugs (NSAIDs) such as therapy diclofenac. Follow by infiltration anserine where corticosteroids such as betamethasone acetate and sodium phosphate betamethasone and methylprednisolone are used. Application forms are with and without ultrasound guidance which facilitates location of the bursa. There are ways to identify the site without ultrasound. Another treatment option is the infiltration with platelet-rich plasma has shown improvement in pain still lack evidence of effectiveness in large groups, long-term studies.
Alvarez-Nemegyei J, Peláez-Ballestas I, Rodríguez-Amado J, Sanin LH, García-García C, Garza-Elizondo MA, Loyola-Sanchez A, et al. Prevalence of rheumatic regional pain syndromes in adults from Mexico: a community survey using COPCORD for screening and syndrome-specific diagnostic criteria. J Rheumatol. 2011; 38 (Suppl. 86): 15-20.