The Additive Value of Musculoskeletal Ultrasound in the Effect of Pes Anserine Injection Among Patients with Osteoarthritis over Clinical Examination | ||||
| Sohag Medical Journal | ||||
| Volume 29, Issue 2, 2025, Page 201-207 PDF (1.19 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2025.363580.1543 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ebtesam Fayez  1; Ahmed Roshdy Alagamy Radwan 2
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| 1Department of Physical Medicine, Rheumatology and Rehabilitation- Faculty of Medicine- Sohag University | ||||
| 2Sohag Sohag | ||||
| Abstract | ||||
| Background: Osteoarthritis (OA) is the most frequent disease of the musculoskeletal (MSK) system. The knee is one of the most common joint involved in OA. In fact, symptomatic knee OA has been reported in 6-10% of the adult population, and more than 50% among patients over 65 years. Pes anserine bursitis (PAB), inflammation of the bursa beneath the conjoined insertion of the pes anserine muscle group tendons along the proximal medial portion of the tibia, can affect an individual’s normal regular daily function as much as intra articular pain. Objectives: This study aimed to compare the effects of blind and ultrasound-guided corticosteroid injections on the pes anserine bursa. Patients and methods: We collected 300 patients with PAB recruited from the outpatient clinic of Sohag University Hospitals. These patients were divided into two groups: Group 1 received MSUS guided PAB injection and group 2 received blind PAB injection depending on clinical landmark assessment. Results: We found that the improvement was seen in both groups significantly from the first week. However, the improvement was much better among MSUS guided cases compared to the control group. On the other hand, this improvement was much sustained up to 3 months among the MSUS guided group compared to the bling group. Conclusion: The use of MSUS guided PAB injection is associated with better and more prolonged outcome compared to blind injection depending only on the surface marking of anserine bursa. | ||||
| Keywords | ||||
| Pes Anserine; Osteoarthritis; Musculoskeletal Ultrasound | ||||
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