Pellegrini-Stieda (PS) lesions in the knee… ever heard of this?

Home > News & Tips > What's Happening

We have recently come across a patient with vague inner knee symptoms and knee stiffness with a altered gait pattern. So we did some research…. we ended up diagnosing with Pellegrini- Stieda. We are having success with this patient and thought that others may benefit from this information.

 

Pellegrini-Stieda (PS) lesions are boney post-traumatic lesions at (or near) the medial femoral collateral ligament on this inside of the knee. Onepossible mechanism of injury is a Stieda fracture (avulsion injury of the medial collateral ligament at the medial femoral condyle). Calcification usually begins to form a few weeks after the initial injury as the bodies response to healing. Many patients, doctors (and physios) can assume that the ligamant has been torn from the clinical presentation.

Clinical presentation

Knee stiffness, some alteration in gait. Others are almost asymptomatic while a small proportion will have medial knee pain.

 

Management

Mild and moderate cases are often conservatively managed with physio aiming to restore movement, normalise muscle function and improve gait. Modification of activity is important. Surgical excision of calcifications and MCL repair is considered mainly for extreme cases with significant impairment.

Differential diagnosis

Tendinous calcification often has other degenerative changes

Meniscal thickening: tender over joint line, associate knee stiffness, can present like a rigid semi locked knee

 

Cool Name: where did it come from?

It is named after Augusto Pellegrini (1877-1958) Italian surgeon and Alfred Stieda (1869-1945) German surgeon .

What's Happening At Mt Isa Physio

MUMS and BUBS exercise classes are here!!

Read More | More News

Award
Winning Service

Q-COMP’s Return to Work Awards Winner 2012

Read More | All Awards

Our Staff

Jess Sheehan

Read More

Ergofix
Ergonomic Solutions

Book an appointment

Contact Us

Miles St Medical Suites,
44 Miles Street, Mount Isa QLD 4825

Ph: 07 4749 4719
Fax: 07 4749 4901

Opening Hours

Mon - Fri
8:00am - 5:00pm
Sat
Closed
Sun
Closed

Pilates

Mon
5:30pm - 6:30pm
Tue
5:30pm - 6:30pm
Thur
5:30pm - 6:30pm
© Mt Isa Physiotherapy 2010 - 2018 All Rights Reserved :: Website by Giant Media :: ADMIN