Case Reports: A Stener-like Lesion of the Medial Collateral Ligament of the Knee

Corten, Kristoff; Hoser, Christian; Fink, Christian; Bellemans, Johan

doi:10.1007/s11999-009-0992-6

Cited by 55 publications

(26 citation statements)

References 8 publications

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“…The distal MCL should always be followed distally to its insertion, medial to the pes anserine tendons. Occasionally, the MCL in distal disruptions can become superficially located with respect to the pes anserine tendons, analogous to a Stener lesion of the thumb 10 (Figure 14). …”

Section: Medial Collateral Ligamentmentioning

confidence: 99%

Magnetic Resonance Imaging of the Knee

Hash

2012

Sports Health

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Context:Magnetic resonance imaging (MRI) affords high-resolution visualization of the soft tissue structures (menisci, ligaments, cartilage, etc) and bone marrow of the knee.Evidence Acquisition:Pertinent clinical and research articles in the orthopaedic and radiology literature over the past 30 years using PubMed.Results:Ligament tears can be accurately assessed with MRI, but distinguishing partial tears from ruptures of the anterior cruciate ligament (ACL) can be challenging. Determining the extent of a partial tear is often extremely difficult to accurately assess. The status of the posterolateral corner structures, menisci, and cartilage can be accurately evaluated, although limitations in the evaluation of certain structures exist. Patellofemoral joint, marrow, tibiofibular joint, and synovial pathology can supplement physical examination findings and provide definitive diagnosis.Conclusions:MRI provides an accurate noninvasive assessment of knee pathology.

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Section: Medial Collateral Ligamentmentioning

confidence: 99%

Magnetic Resonance Imaging of the Knee

Hash

2012

Sports Health

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“…The lesion, referred to as the Stener-like lesion of the MCL, may require surgery. There are reports of good outcomes of such a treatment [37]. la no we go jest znacz ny.…”

Section: Discussionmentioning

confidence: 99%

Results of Two-Stage Operative Treatment of Anteromedial Instability of the Knee

Piątkowski¹,

Płomiński²,

Sowiński³

et al. 2014

Ortop Traumatol Rehabil

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1.Two-stage operative treatment produces good or very good results in most patients. Nevertheless, there is a risk of complications in some cases, mostly in patients aged 40 years. Accordingly, two-stage treatment is currently recommended in younger individuals. 2. A complete MCL tear at the distal attachment should be given particular attention. Although such injury is rare, due to the anatomical determinants and the risk of Stener-like lesions, i.e. unhealed ML, surgery is recommended. Surgery produces good clinical and functional results.

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“…1). 8,18,19 A long-leg cylinder cast is placed with the knee in full extension and the patient is instructed on foot-flat touchdown weight-bearing, avoidance of walking in an externally rotated position (to minimize valgus-external rotation force), quad isometrics, straight leg raises, and ankle pumps in the cast. In approximately 7 to 10 days, the cast is bivalved and the patient initiates physical therapy to begin range of motion exercises 3 to…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…The authors feel that acute medial-sided repair has very limited indications, which include a displaced peripheral meniscus tear, severe retraction, or displacement of the sMCL likely to result in healing in a nonfunctional position, MCL entrapment, a newly described Stener-type lesion of the MCL and pes anserinus, 18 bony avulsion of the sMCL, associated patella dislocation with concomitant MPFL avulsion, or avulsion of the direct attachment of the SM (Fig. 4).…”

Section: Surgical Indicationsmentioning

confidence: 99%

Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee

Medvecky¹,

Tomaszewski

2015

Sports Medicine and Arthroscopy Review

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Medial collateral ligament (MCL) injuries are the most common ligamentous injury of the knee. The extent of injury can range from a minor first-degree (1-degree) sprain to an extensive third-degree (3-degree) sprain that can propagate across the knee, rupturing one or both cruciate ligaments, and result in a knee subluxation or dislocation. A common pattern involves the combined anterior cruciate ligament (ACL) and MCL injury that is the focus of this chapter. The vast majority of these combined medial-sided injuries are treated nonoperatively with delayed reconstruction of the ACL injury in athletically active individuals. The MCL and associated medial structures are carefully assessed on physical examination, and classification of injury is based upon abnormal limits of joint motion. In vitro cadaveric biomechanical testing has given us a better understanding of ligament deficiency and altered joint motion. Consistency in terminology is necessary for proper classification of injury and reproducible categorization of injury patterns to be able to compare both nonoperative and operative treatment of various injury patterns.

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Case Reports: A Stener-like Lesion of the Medial Collateral Ligament of the Knee

Cited by 55 publications

References 8 publications

Magnetic Resonance Imaging of the Knee

Magnetic Resonance Imaging of the Knee

Results of Two-Stage Operative Treatment of Anteromedial Instability of the Knee

Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee

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