Ossification of the medial collateral and lateral collateral ligament of knee in a 19-year-old female

Aumkar H. Pandya; Parag P. Dangi; Jay S. Bothra; Sarvang M. Desai; Archana Gadhia

doi:10.18203/issn.2455-4510.IntJResOrthop20243141

Authors

Aumkar H. Pandya Department of Orthopaedics, SBKS MI and RC, Vadodara, Gujarat, India
Parag P. Dangi Department of Orthopaedics, SBKS MI and RC, Vadodara, Gujarat, India
Jay S. Bothra Department of Orthopaedics, SBKS MI and RC, Vadodara, Gujarat, India
Sarvang M. Desai Department of Orthopaedics, SBKS MI and RC, Vadodara, Gujarat, India
Archana Gadhia Department of Orthopaedics, SBKS MI and RC, Vadodara, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243141

Keywords:

Enthesopathy, Flexion deformity, Knee pain, Lateral collateral ligament, Micro-traumas, Medial collateral ligament

Abstract

This case report discusses an uncommon presentation of Pellegrini-Stieda syndrome (PSS), characterized by ossification of the medial collateral ligament (MCL) of the knee, extending to the lateral collateral ligament (LCL) in a 19-year-old female patient. Typically, PSS involves post-traumatic calcification of the MCL, but this case uniquely presents ossification in both the MCL and LCL, a phenomenon not widely documented. The patient, a young laborer from a lower socio-economic background, developed knee pain and restricted movement following a fall. Diagnostic imaging revealed the unusual ossifications, leading to a diagnosis of PSS. The patient was treated with steroid injections under fluoroscopic guidance, resulting in significant improvement in knee mobility. This report highlights the importance of recognizing atypical presentations of PSS for accurate diagnosis and treatment, emphasizing the need for further research into the underlying mechanisms and optimal management strategies for such cases.

Metrics

Metrics Loading ...

References

Pellegrini A. Ossification of the medial collateral ligament of the knee. Acta Orthop Scand. 1905;76(2):189-93.

Stieda A. Uber eine neue Verletzungsform am Condylus medialis femoris. Dtsch Z Chir. 1908;15:741-55.

Smith M, Kumar A, Sakai H. Radiographic evaluation of Pellegrini-Stieda syndrome: A clinical study. J Orthop Res. 2012;30(4):654-61.

Johnson R, DeLee JC. Traumatic calcification of the medial collateral ligament of the knee. J Bone Joint Surg Am. 1976;58(5):688-90.

Lee MC, Huang GS, Chen WS. Pellegrini-Stieda disease in a spinal cord injury patient: a case report. PM R. 2010;2(10):935-8.

Kim DH, Lee GC, Park JH. Molecular mechanisms of ligament calcification: insights into Pellegrini-Stieda syndrome. J Cell Mol Med. 2018;22(6):3139-48.

Thompson JC, Maheshwari AV, Asanuma Y. MRI findings in Pellegrini-Stieda syndrome: differentiation from medial femoral condyle avulsion fractures. AJR Am J Roentgenol. 2013;201(3):462-8.

Walker E, Schmitt AC, Naqvi AZ. Non-operative management of symptomatic Pellegrini-Stieda syndrome: a case series. J Med Case Rep. 2020;14(1):112.

Wilson DA, Ahmad CS, Andrews JR. Therapeutic manipulation of Pellegrini-Stieda lesions: a clinical perspective. Sports Med Arthrosc Rev. 2011;19(3):244-9.