II. Epidemiology
- Incidence: Rare
- Most common in males, ages 25 to 40 years
III. Pathophysiology
- Medial collateral ligament (MCL) ossification (calcification)
- Results from valgus stress induced MCL injury
- Inflammatory response to injury leads to a delayed calcification at 2 to 6 weeks after injury
IV. Causes
- Acute MCL injury
- Repetitive MCL injury and overuse
- Overstretching
V. Symptoms
- Medial Knee Pain following injury
VI. Signs
- Medial knee tenderness
- Medial femoral condyle
- Proximal medial collateral ligament (MCL)
- Palpable firm localized swelling may be present
- Absent Knee Effusion
- Provocative
- Range of motion is painful (active and passive)
- Valgus stress test painful
VII. Imaging
VIII. Differential Diagnosis
IX. Management
X. Complications
- Restricted range of motion
- Joint Contractures
- Altered Gait
XI. Resources
- Pellegrini-Stieda Lesion
XII. References
- Kiel (2024) Crit Dec Emerg Med 38(5): 16-7
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Related Studies
Concepts | Disease or Syndrome (T047) |
ICD10 | M76.4 |
SnomedCT | 268089006, 156662006, 202869006, 60644007 |
English | Tibial collateral bursitis [Pellegrini-Stieda], Calcific medl collat lig knee, Pellegrini - Stieda syndrome, Calcification of medial collateral ligament of knee, Pellegrini-Stieda syndrome, Pellegrini-Stieda syndrome (disorder), Pellegrini-Stieda |
German | Bursitis im Bereich des Lig. collaterale tibiale [Stieda-Pellegrini] |
Korean | 정강뼈 측부 윤활낭염[펠레그리니-스티다] |
Dutch | Bursitis van ligamentum collaterale tibiale [Pellegrini-Stieda] |
Spanish | calcificación del ligamento lateral medial de la rodilla, síndrome de Pellegrini - Stieda (trastorno), síndrome de Pellegrini - Stieda |
Ontology: Pellegrini Stieda disease (C3665890)
Concepts | Injury or Poisoning (T037) |
English | Pellegrini Stieda disease |
Czech | Stiedův-Pellegriniho syndrom |
Dutch | ziekte van Pellegrini-Stieda |
French | Maladie de Pellegrini Stieda |
German | Stieda-Pellegrini-Koehler-Schatten |
Hungarian | Pellegrini Stieda betegség |
Italian | Malattia di Pellegrini-Stieda |
Japanese | ペレグリーニ・シュティーダ病, ペレグリーニシュティーダビョウ |
Portuguese | Doença de Pellegrini-Stieda |
Spanish | Enfermedad de Pellegrini-Stieda |