© 2018 Stephanie Chau
Background and Purpose: Pes anserine syndrome is the term that encompasses both pes anserine bursitis and pes anserine tendonitis. The exact incidence of pes anserine syndrome is unknown. However, the etiology has been hypothesized to be due to poor biomechanics and overuse. Treatment protocols with targeted exercises for rehabilitation of pes anserine syndrome have not been well documented. ACL injury prevention programs have been shown to significantly decrease ACL injuries by addressing proper hip, knee, and ankle alignment and biomechanics. It was postulated that utilization of an ACL injury prevention program could also be an effective strategy in addressing the faulty biomechanics of pes anserine syndrome. This case report provided a unique approach through utilization of exercises typically seen in an ACL injury prevention program to treat pes anserine syndrome. Case Description: The patient was an active 32-year-old male with pes anserine syndrome. He received outpatient PT 1-2 times per week for 8 weeks for a total of 12 visits. Interventions included soft tissue mobilizations, stretching, strengthening, ACL injury prevention exercises, and patient education. Outcomes: At discharge, the patient returned to his prior level of function without left knee pain or symptoms consistent with pes anserine syndrome. All tests and measures performed during initial evaluation demonstrated significant improvements at the time of discharge. Improvements included decreased worst pain (NPRS) from 8/10 – 0/10, improved function (LEFS) from 67/80 – 79/80, and improved left knee flexion ROM from 136° – 145°. Discussion: The patient appeared to have benefited from the use of an ACL injury prevention exercises for treatment of pes anserine syndrome. Future research may consider focusing on developing a standardized treatment approach for pes anserine syndrome.
Chau, Stephanie, "The Treatment Of Pes Anserine Syndrome Using ACL Injury Prevention Exercises: A Case Report" (2018). Case Report Papers. 93.