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Anserine syndrome.
Milton Helfenstein1, Jorge Kuromoto
1Escola Paulista de Medicina, UNIFESP, São Paulo, Brazil. m.helfen@terra.com.br
Revista Brasileira De Reumatologia
|December 3, 2010
Summary
Pes anserinus tendino-bursitis syndrome (PATB), often diagnosed clinically, causes medial knee pain. Researchers propose "anserine syndrome" due to diagnostic challenges and unknown pathophysiology, with diabetes as a risk factor.
Area of Science:
- Orthopedics
- Sports Medicine
- Rheumatology
Background:
- Pes anserinus tendino-bursitis syndrome (PATB) is a common cause of medial knee pain.
- Diagnosis is often based on clinical features, leading to potential ambiguity.
- The underlying structural defects and exact pathophysiology remain poorly understood.
Purpose of the Study:
- To address diagnostic challenges and controversies surrounding PATB.
- To propose a new term, "anserine syndrome," for this condition.
- To highlight the need for further research into its epidemiology, etiology, and pathophysiology.
Main Methods:
- Review of existing literature on PATB diagnosis and imaging modalities.
- Clinical observation and analysis of patient symptoms.
- Identification of potential predisposing and risk factors.
Main Results:
- Clinical diagnosis of PATB can be equivocal.
- Diabetes Mellitus is a recognized predisposing factor.
- Overweight and osteoarthritis are suspected risk factors, but their role is unclear.
Conclusions:
- The term "anserine syndrome" is proposed to better encompass the condition.
- Further research is crucial to elucidate the epidemiological, etiological, and pathophysiological aspects of this disorder.
- Understanding these aspects will improve diagnosis and treatment of medial knee pain.
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