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Pellegrini-Stieda syndrome

J C Wang1, M S Shapiro

  • 1Department of Orthopaedic Surgery, UCLA Center for Health Sciences, USA.

American Journal of Orthopedics (Belle Mead, N.J.)
|June 1, 1995
PubMed
Summary

Pellegrini-Stieda syndrome, a complication of medial collateral ligament knee injuries, can cause significant limitation. Surgical excision of the bony fragment and ligament repair effectively treat symptomatic cases when conservative methods fail.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Injuries

Background:

  • Pellegrini-Stieda sign is a radiographic finding post-medial collateral ligament (MCL) knee trauma.
  • It involves calcification in the MCL insertion point.
  • While often asymptomatic, it can progress to symptomatic Pellegrini-Stieda syndrome.

Observation:

  • Pellegrini-Stieda syndrome presents with persistent knee pain and tenderness.
  • Symptoms are typically localized to the medial knee.
  • Limited range of motion and functional impairment can occur.

Findings:

  • Surgical intervention, including bony fragment excision and MCL repair, is effective.
  • This surgical approach can resolve symptoms and restore function.
  • Case reports demonstrate successful outcomes with surgical management.

Implications:

  • Highlights the importance of recognizing and managing symptomatic Pellegrini-Stieda syndrome.
  • Suggests surgery as a viable option for refractory cases.
  • Informs treatment strategies for athletes and active individuals with knee trauma.

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