Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain and tenderness at the medial aspect of the right proximal tibia, inferior to the joint line. Symptoms are exacerbated by stair climbing, deep knee flexion, and prolonged ambulation. No history of acute trauma, mechanical locking, or joint instability.
Clinical Examination Findings
Right knee examination reveals focal tenderness to palpation at the pes anserinus insertion site (medial proximal tibia). No significant joint effusion, ligamentous laxity, or meniscal signs (McMurrayโs negative). Range of motion is full but painful at terminal flexion. No erythema or warmth noted.
Treatment Protocol
Initiate conservative management: activity modification, avoidance of aggravating movements, and ice application for 15 minutes three times daily. Prescribe NSAIDs for inflammation control. Consider physical therapy for hamstring stretching and strengthening. If refractory, consider local corticosteroid injection into the bursa.