Pellegrini-Stieda ossification can also involve the posterior attachment of the MPFL

Clin Imaging. 2016 Sep-Oct;40(5):1014-7. doi: 10.1016/j.clinimag.2016.06.001. Epub 2016 Jun 9.

Abstract

Purpose: To evaluate for development of Pellegrini-Stieda (PS)-type ossification following injury to the posterior attachment of the medial patellofemoral ligament (MPFL).

Materials and methods: This retrospective study evaluated 27 patients with acute knee injury with initial radiographs, magnetic resonance imaging within 1 week of injury, and follow-up radiographs assessing for development of PS.

Results: Of the 27 patients who developed PS ossification, 7 patients (25.9%) had isolated MPFL injury with the ossification slightly more proximal than the traditional PS.

Conclusion: Isolated injury to the posterior MPFL also leads to PS ossification, which is slightly superior in location to the traditional PS.

Keywords: Chronic patellar instability; MRI; Pellegrini–Stieda ossification; Posterior attachment of the medial patellofemoral ligament.

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Injuries / complications*
  • Knee Injuries / diagnostic imaging
  • Ligaments, Articular / diagnostic imaging
  • Ligaments, Articular / injuries*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Ossification, Heterotopic / diagnostic imaging
  • Ossification, Heterotopic / etiology*
  • Patellofemoral Joint / diagnostic imaging
  • Patellofemoral Joint / injuries*
  • Radiography
  • Retrospective Studies
  • Risk Factors