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Pes anserine pain syndrome — MRCGP AKT MCQ

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ModerateKnee InjuriesPes anserine pain syndromeMRCGP AKT

A 38-year-old runner has medial proximal tibial pain after increasing hill repeats. There is tenderness 4 cm below the medial joint line, no effusion, and valgus/meniscal tests are negative. What is the most likely diagnosis?

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Correct answer: EPes anserine pain syndrome

Pes anserine pain is localised below the medial joint line at the conjoined hamstring insertion and bursa. The absence of effusion and negative meniscal testing make intra-articular pathology less likely. Training load and kinetic-chain factors should be addressed.

Reference: Brukner & Khan