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Q NBME7 anatomy - gusmle
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07-20-2010, 12:58 PM
there was in nbme 7 ( Block 1 Q 43 ) asking about the calcification in the medial side of the knee the choices were between
1- medial collateral lig. calcification 2- Adductor magnus lig. ccalcification Any xplanation please
07-20-2010, 01:09 PM
hi gusmle.
...the condition is called Pellegrini-Stieda disease=painful calcification at the proximal part of the medial collateral ligament of the knee joint. --Conventional X-ray examination showed a dense rounded deposit at the proximal part of the medial collateral ligament....
07-20-2010, 01:21 PM
that was my answer but what about adductor magnus tendon calcification ?
07-20-2010, 01:30 PM
If i remmber the question...I dont have it now ...I think in the question they explained about the football player and explained about sports accident...the common sports injuries are the happy triad and the adductor magnus is not one of them...if u dont mind can u write the history...
07-20-2010, 01:37 PM
that was right as u mentioned . 20 yer sportee presented by 2 month history of knee pain, Examination shows stable knee but radiological ex. shows the calcification shown ....
07-20-2010, 01:49 PM
So with the common types of Knee injury in sports .....the sportee had previous MCL injury and now he has Pellegrini-Stieda Syndrome
Here is what i got from pubmed...and u can see similar pictures if u google pelligrini steida syndrome.. --The Pellegrini-Stieda "sign" is commonly seen in patients who have a history of trauma to the medial collateral ligament of the knee. Although most are asymptomatic, a few patients will develop the characteristic Pellegrini-Stieda syndrome, which can be severely limiting. When conservative measures fail, surgical treatment consisting of excision of the bony fragment with careful repair of the medial collateral ligament can eradicate the symptoms. This syndrome is reviewed in detail, and an illustrative case report is included.
07-20-2010, 01:51 PM
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