A bursa lying between the adductor magnus tendon and the ischial tuberosity, distinct from the ischiogluteal bursa which overlies the hamstring origin. It cushions the medial adductor attachment during hip adduction and external rotation.
Inflammation presents as deep posteromedial thigh pain, worse with prolonged sitting and resisted adduction. It is distinguished from hamstring origin tendinopathy by its more medial localisation. MRI differentiates adductor magnus ischial bursitis from high hamstring tendinopathy.
Bursal swelling at the medial ischial attachment producing deep groin and posteromedial thigh pain, often mistaken for hamstring origin pathology.
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