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Dr. Ebraheim’s educational animated video describes the Bursa around the Knee joint. Several bursae is seen around the knee are: 1-Suprapatellar 2-Prepatellar (most common) 3-Infrapatellar 4-Pes Anserine The pes anserine bursa is a small fluid filled sac located between the tibia and three tendons of the Sartorius Gracilis and the semitendinosus. Innervation of the pes anserine muscles •Sartorius: femoral n •Gracilis: obturator n •Semitendinosus: tibial branch of the sciatic nerve. Pes anserine bursitis, or “breast stroke knee” is an inflammatory condition of the medial knee at the pes anserine bursa that is common in swimmers. What is the pes anserine? The pes anserine is the common area of insertion for the three tendons along the proximal medial aspect of the tibia. The condition is also sometimes referred to as a “goosefoot”because the pes anserine tendons resemble the shape of a goose’s foot. Pes anserine bursitis is usually seen as causing pain, tenderness, and localized swelling after trauma or total knee replacement. The pain is seen below the joint line on the medial part of the proximal tibial with the first being deep to the tendons. Treatment •Physical therapy •NSAIDS •Injections Differential diagnosis •Meniscal tear •Stress fracture •Rule out meniscal tears, stress fractures, or osteonecrosis of the tibia. Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC