• Skip to main content
  • Skip to primary sidebar
  • Skip to footer
  • General Ortho
  • Procedures
  • Spine
  • Upper Limb
  • Lower Limb
  • Pain
  • Trauma
  • Tumors
  • Newsletter/Updates
  • About Us
  • Contact Us

Bone and Spine

Orthopedic health, conditions and treatment

Pellegrini Stieda Syndrome

By Dr Arun Pal Singh

In this article
    • Relevant Anatomy
    • Presentation of Pellegrini Stieda Syndrome
    • Imaging
      • Treatment  of Pellegrini Stieda Syndrome

Pellegrini Stieda syndrome is the presence of pain and limitations of movement of the knee in the patient with a previous injury to the medial collateral ligament of knee, due to ossification of the femoral attachment. The calcified lesion is known as Pellegrini Stieda lesion or sign.

Most of the cases of Pellegrini Stieda lesions are not symptomatic, and Pellegrini Stieda syndrome is said to exist when the lesion becomes symptomatic i.e. pain and restriction of movements.

Pellegrani Stieda syndrome is a rare condition and has been named after Italian surgeon Augusto Pellegrini and German surgeon Alfred Stieda.

Relevant Anatomy

The medial collateral ligament extends from the femoral medial epicondyle to the medial condyle and superior part of the medial surface of the tibia.

The deep fibers of the medial collateral ligament are firmly attached to the medial meniscus and the fibrous capsule. Superiorly it may be in continuation with adductor magnus.

It is a common ligament to knee to be injured.

Presentation of Pellegrini Stieda Syndrome

The stiffness of the knee is the primary complaint, particularly when attempting to straighten the knee. Twisting of the knee and increased physical difficulty may also be difficult.

Pain is another complaint. On examination, the tenderness may be present on the inner aspect of the knee. A palpable lump may be present

Imaging

The standard anteroposterior x-ray would show a linear soft tissue opacity medial to the femoral condyle. The linear fashion of ossification is often suggestive of calcification of the proximal aspect of the medial collateral ligament. The calcification may also involve the adductor magnus tendon.

Pellegrini Stieda Syndrome Lesion

Computed tomography would also show heterotopic ossification of the femoral attachment of the medial collateral ligament.

MRI would reveal a corticated structure within the proximal MCL, with no evidence of fat content.

MRI is invaluable in defining the anatomy of the structures and confirmation of the site of calcification.

Treatment  of Pellegrini Stieda Syndrome

Nonoperative measures include rest and use of ice massage after activity. Analgesic medications like NSAIDs can be used. Strenuous activity should be avoided.

When conservative treatment is not successful, surgery can be considered. Surgical treatment consists of excision of the bony fragment with careful repair of the medial collateral ligament.

 

Spread the Knowledge
  • 12
    Shares
  •  
    12
    Shares
  • 1
  • 11
  •  
  •  
  •  

Filed Under: Knee

About Dr Arun Pal Singh

Arun Pal Singh is an orthopedic and trauma surgeon, founder and chief editor of this website. He works in Kanwar Bone and Spine Clinic, Dasuya, Hoshiarpur, Punjab.

This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health.

You can follow him on Facebook, Linkedin and Twitter

Reader Interactions

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Primary Sidebar

bone mineral density scanner

Bone Mineral Density

Bone mineral density or bone density is measure of mineral content in per square centimeter of bones. Bone mineral density is an indirect indicator of osteoporosis. Densitometery is the test for measurement of bone mineral density. As we grow after reaching peak bone mass, we lose some bone mass because of loss of bone minerals […]

Iliotibial band anatomy

Iliotibial Band Syndrome

Iliotibial band syndrome is also called iliotibial friction syndrome is a common cause of lateral knee pain among runners, cyclists and military personnel though it can be observed in other athletes as well. It is considered an overuse syndrome as it is typically is observed in people who exercise vigorously. The incidence of iliotibial band […]

Lab Study Profiles of Different Types of Rickets

Hypophosphatemic Rickets

Hypophosphatemic rickets is a hereditary form of rickets characterized by low serum phosphate levels and resistance to treatment with ultraviolet radiation or vitamin D ingestion. This disorder was initially called vitamin D resistant rickets, is now called hereditary hypophosphatemic rickets because the primary problem is phosphate wasting rather than true vitamin D resistance. [Read in […]

apical vertebra and other terms in scoliosis

Idiopathic Scoliosis – Types, Presentation and Treatment

Idiopathic scoliosis is the lateral deviation deformity of the spine where the cause is not known. Because there is also a vertebral rotation and not just deviation, the term rotoscoliosis is also used to describe the deformity. Idiopathic signifies that it is not secondary or due to some deformity and other secondary causes. On plain […]

chronic exertional comparment syndrome

Chronic Exertional Compartment Syndrome

Chronic exertional compartment syndrome is a condition characterized by exercise-induced pain that is relieved by rest. It occurs from repetitive loading or exertional activities in athletes, long-distance runners, basketball players, skiers, and soccer players. It is most commonly seen in legs but can involve any compartment of the extremities. It is the second most common […]

Essex Lopresti Fracture

Essex Lopresti Fracture

The Essex Lopresti fracture is also called longitudinal radioulnar dissociation and consists of fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint. It is important to recognize  and have high index of suspicion because Essex Lopresti fracture is often missed. Isolated radial head fracture can be successfully […]

Darrach Procedure

Darrach procedure is removal of distal ulna. It was first performed by Darrach in 1911 in New York City. Darrach Procedure is done for- For relief of pain following distal RU disruption and/or RU arthritis; For symptomatic malunion of Colle fracture in elderly patients, especially when stiffness is present Darrach  procedure is generally performed on […]

Browse Articles

Footer

Pages

  • About
    • Policies
    • Contact Us

Featured Article

Internal Fixation of Fractures – Principles and Devices

Internal fixation of the bone is a type of fixation where the fixing device is not exposed to outside environment as it is buried under the soft … [Read More...] about Internal Fixation of Fractures – Principles and Devices

Search Articles

© Copyright: BoneAndSpine.com