Pellegrini–Stieda disease: a heterogeneous disorder not synonymous with ossification/calcification of the tibial collateral ligament—anatomic and imaging investigation

Mendes, Luiz F. A.; Pretterklieber, Michael L.; Cho, Jae H.; Garcia, Glenn M.; Resnick, Donald; Chung, Christine B.

doi:10.1007/s00256-006-0174-5

Cited by 49 publications

(29 citation statements)

References 5 publications

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“…3, different patient). PS lesions usually result from remote healed trauma to the MCL with or without adductor magnus insertion involvement [1] [6] and may have different shapes, sizes, and locations. On radiographs, ossifications can have superior, inferior orientation, or both, and usually are parallel to the medial femoral condyle with or without attachment to the femur.…”

Section: Discussionmentioning

confidence: 99%

“…On radiographs, ossifications can have superior, inferior orientation, or both, and usually are parallel to the medial femoral condyle with or without attachment to the femur. PS lesions may have different shapes such as drop-like, beak-like, or elongated appearances [6]. Although it is usually asymptomatic, medial knee pain can be present and referred to that as PS syndrome.…”

Section: Discussionmentioning

confidence: 99%

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Core curriculum case illustration: [Stieda fracture (avulsion fracture of the medial femoral condyle)]

Fadl

Robinson

2017

Emerg Radiol

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This is the 30th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC . A Stieda fracture is an avulsion injury from the medial femoral condyle of the origin of the medial collateral ligament. The medial collateral ligament originates superiorly from the medial femoral condyle and has superficial and deep fibers. On radiographs, the avulsion fracture at or near the medial femoral condyle near the attachment site of the medial collateral ligament is usually characteristic. Isolated partial or complete MCL injuries can be treated nonoperatively with good outcomes. Reconstruction of the medial ligamentous structures of the knee is usually performed if there is persistent valgus laxity or anteromedial rotatory instability after nonoperative management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Core curriculum case illustration: [Stieda fracture (avulsion fracture of the medial femoral condyle)]

Fadl

Robinson

2017

Emerg Radiol

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“…Mendes et al (9) showed that calcifica- tions may occur not only in MCL but also within the fibers of adductor magnus muscle, which join the ligament at its superior aspect. In our case, the calcification of MCL has was purely intraligamentous.…”

Section: Discussionmentioning

confidence: 99%

Intraligamentous Calcification of the Medial Collateral Ligament Mimicking Pellegrini-Stieda Syndrome in a Lower-Extremity Amputee

Gökçen¹,

Kelle²,

Kozanoğlu³

2015

Turk J Phys Med Rehab

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Soft-tissue calcification is characterized by the accumulation of calcium in damaged collagen fibrils. The pathogenesis of calcium deposition is not fully understood. Inflammatory changes, trauma, and rheumatological diseases have been reported as possible risk factors. Pellegrini-Stieda syndrome (PSS) is post-traumatic calcification or ossification of the medial collateral ligament with a nonspecific etiology. It may occur after trauma or inflammation or it could be idiopathic. Here we present a case of posttraumatic intraligamentous calcification of the medial collateral ligament (MCL) mimicking Pellegrini-Stieda syndrome (PSS) and review the current related literature.

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“…Although most are asymptomatic, a few patients will develop pain and restricted movements that are characteristic of Pellegrini-Stieda disease, which can be severely limiting [ 18 ]. However, the ossifi cation in Pellegrini-Stieda disease is not only confi ned to the MCL but may also involve the adductor magnus tendon [ 19 ]. Appearance on MR images depends on the size of the lesion.…”

Section: Chronic Injury Of MCLmentioning

confidence: 99%

Medial Collateral Ligament (MCL) and Medial Supporting Structures

2014

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Pellegrini–Stieda disease: a heterogeneous disorder not synonymous with ossification/calcification of the tibial collateral ligament—anatomic and imaging investigation

Cited by 49 publications

References 5 publications

Core curriculum case illustration: [Stieda fracture (avulsion fracture of the medial femoral condyle)]

Core curriculum case illustration: [Stieda fracture (avulsion fracture of the medial femoral condyle)]

Intraligamentous Calcification of the Medial Collateral Ligament Mimicking Pellegrini-Stieda Syndrome in a Lower-Extremity Amputee

Medial Collateral Ligament (MCL) and Medial Supporting Structures

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