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 withtrauma or repeated strain.Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the leftknee 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 theleft 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 cryotherapyResults: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extensionand 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. Thepatient showed improvements in pain, and ROM after one month of rehabilitation programs.Keywords: Pellegrini-Stieda Syndrome (PSS), Range-of-Motion (ROM), Medial Collateral Ligament(MCL).

Pellegrini Stieda Syndrome after Traffic Accident: A Case Report

“…The success of this rehabilitation program underscores the potential of targeted physical therapy to facilitate recovery in PSS patients and suggests that non-pharmacological interventions can play a crucial role in improving patient outcomes. Additionally, the combination of cryotherapy and exercise in this program demonstrates the benefits of using multiple modalities to achieve optimal results, particularly in reducing inflammation and promoting mobility (12). This case study underscores the significance of incorporating comprehensive rehabilitation strategies in the management of musculoskeletal disorders.…”

“…It highlights the need for additional research on the long-term effects of physical rehabilitation on PSS, with the aim of establishing standardized protocols that can be universally implemented. Additionally, it calls for a reevaluation of the current treatment guidelines for PSS, emphasizing the potential for physical therapy to play a more prominent role in the early stages of treatment, thereby potentially reducing the need for more invasive procedures (12).In summary, the study by Handayanto et al provides compelling evidence of the positive impact of physical rehabilitation on PSS, reinforcing the importance of a multidisciplinary approach in managing the condition. The findings suggest that tailored rehabilitation programs should be considered a essential component of PSS treatment, aimed at improving patient quality of life through enhanced mobility and pain management (12).In this study, the dimensions of the lesion observed through CT scan were 2.6 cm x 4.4 cm x 0.8 cm.…”