This distal attachment is the stronger of the two and makes up the floor of the pes anserine bursa.

The anserine bursa (tibial intertendinous bursa) is a sub muscular bursa located just below the pes anserinus on the anteromedial proximal tibia.

Pes anserine bursitis is an inflammatory condition of the medial (inner) knee at the anserine bursa, a sub muscular bursa, just below the pes anserinus.

The distal tibial attachment of the sMCL can be found under these identified tendons, making up the floor of the pes anserine bursa, 6 cm distal to the joint line.