Rehabilitation Medicine in Pellegrini-Stieda Syndrome with Myositis Ossificans and Neglected Patella Fracture

Abstract

Introduction: Pellegrini-Stieda Syndrome (PSS) is calcification of the medial collateral ligament (MCL). The manifestation are restricted motion and pain of the knee. PSS usually associated with trauma or repeated strain. Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the left knee while walking for six months. He had neglected trauma 9 years ago. There were antalgic gait, mild swelling, warm, and tenderness on medial aspect, restricted range of motion (ROM) by pain on the left knee; flexion 150. The knee X-Ray has shown the myositis ossificans and Pellegrini-Stieda lesion. Subject had undergone Rehabilitation Program, i.e. progressive gradual motion exercise and cryotherapy Results: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extension and 30º flexion, became 8ºrestricted of extension and 55º flexion, after one month of program. Conclusion: Pellegrini-Stieda Syndrome (PSS) is a possible complication in major knee trauma. The patient showed improvements in pain, and ROM after one month of rehabilitation programs.