Don't forget anserine bursitis

Harold Fireman makes a good point regarding pes anserine bursitis in his letter concerning our article.¹ We see this condition in hurdlers, steeplechasers and people who run downhill. If it persists you need to consider a traction stress fracture at the site and order a bone scan. If the bone scan is very hot then you will need a CT scan, as I have seen a few of these go to a completed fracture. For the true bursitis, local injection certainly can be effective and I have had good results with topical 10% diclofenac. The patient needs to work on hamstring stretching and quadriceps–hamstring strengthening.

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Jack E. Taunton
Professor and Director Allan McGavin Sports Medicine Centre University of British Columbia Vancouver, BC