Rupture of superficial pes anserinus and partial rupture of patellar ligament as rare concomitant lesions of complex knee joint injuries

Pointinger, H.; Pl, Munk; Poeschl, G.

doi:10.1007/s001130050374

Cited by 5 publications

(2 citation statements)

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“…The presence of avulsion injuries of the patella tendon enhanced our conviction that these injuries are due to high‐energy trauma. Injuries of the extensor mechanism occur very rarely in multiple ligament knee injuries [32, 33] and range from 6 to 15% [15, 34].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Tzurbakis

Diamantopoulos²,

Xenakis

et al. 2006

Knee Surg Sports Traumatol Arthr

159

108

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The purpose of the study was to evaluate the mid-term results of surgical treatment in different groups of patients with multiple knee ligament injuries. Review of our patients' records revealed that 48 acute and chronic patients were surgically treated for combined knee injury. Due to severe capsular damage in these injuries, open techniques were used. In our treatment protocol, avulsed ligaments and tears of the posterolateral and posteromedial corner were repaired if possible, whereas midsubstance tears of cruciate ligaments and chronic cases were reconstructed with autografts. Postoperatively, an accelerated program of rehabilitation was introduced, aiming to progressively mobilize the joint and improve muscle endurance. For the follow-up evaluation we designed a protocol composed of two parts. In the first part, anatomical lesions were recorded and in the second part, clinical evaluation was performed using the Lysholm score, the Tegner rating system, the IKDC evaluation form, and the KT1000. Student's t tests and chi-square tests were used for data analysis. Forty-eight patients (mean age 28.6+/-11.9 years; 41 males) were classified according to the specific anatomical structures involved. Group A included 12 anterior cruciate ligament (ACL) and medial structure injuries, group B included 11 ACL or posterior cruciate ligament (PCL) ruptures combined with posterolateral injuries, and group C consisted of 25 knee dislocations (ACL and PCL ruptures which might be combined with damage of the collateral ligaments). Thirty-eight patients were surgically treated during the acute phase and ten patients were treated chronically. Forty-four patients (91.6%) were followed up at a mean of 51.3+/-29.9 months. Average Lysholm score was 87+/-12.3; average Tegner score was 5.09+/-2.19 before accident and 4.34+/-2.12 in re-examination; IKDC score was A in 10 cases, B in 22, C in 6, and D in 6. The mean range of motion was 129.9 degrees +/-12.5 degrees . The average loss of extension and flexion were 1.6 degrees +/-2.5 degrees and 7.6 degrees +/-7.9 degrees , respectively. The side-to-side difference in corrected anterior and posterior translation in quadriceps neutral angle and in anterior translation in 30 degrees angle was <3 mm for about 65% of our patients. Surgical treatment of multiple knee ligament injuries, using autografts, provided satisfactory stability, range of motion, and subjective functional results. However, despite the improvement of the quality of life, the preinjury patients' activity level was not fully obtained in re-examination. Patients underwent surgical treatment during the acute phase had better scores in several points, but finally there was no statistical significance between acute and chronic patients. Moreover, no statistically significant differences were observed among the groups with specific damaged anatomical structures.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Tzurbakis

Diamantopoulos²,

Xenakis

et al. 2006

Knee Surg Sports Traumatol Arthr

159

108

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“…We found that there is only one published case of pes anserine bursal rupture reported by Yagi S. et al (2019). The claims that there are two other reports published by Bruns J et al (1986) and Pointinger H. et al (1999) are not correct; on closer inspection, the two publications reported pes anserine tendon rupture and not pes anserine bursal rupture [5][6][7].…”

Section: Discussionmentioning

confidence: 75%

Diving Pes Anserine Bursal Rupture in a Patient with Knee Osteoarthritis: Case Report

Allam

El-Refai

Allam

2020

SN Compr. Clin. Med.

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Pes anserine bursitis is not an uncommon pathology especially in the context of knee osteoarthritis; however, ruptured pes anserine bursitis is a rare event. Herein, the authors present a case of diving pes anserine bursal rupture in a patient with knee osteoarthritis who developed postero-medial knee tender swelling. In our case, the bursal rupture was contained, and dived posteriorly, resulting in a cystic calf swelling; the original bursa itself was collapsed beneath the pes anserine tendon, giving a taillike appearance, such tail-like appearance could help in accurate localization of swelling origin and make the diagnosis of bursal rupture much easier. The tail-like appearance deep to the pes anserine tendon was found to be a helpful imaging feature when assessing cystic calf swelling; it should be kept in mind when pes anserine bursal rupture is a differential diagnostic consideration, as it could indicate the origin of resultant swelling. Keywords Pes anserine bursitis . Diving pes anserine bursal rupture . Knee osteoarthritis . Cystic calf swelling This article is part of the Topical Collection on Imaging

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Avulsion fracture of an ossified pes anserinus tendon post-lateral patellar dislocation

et al. 2017

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The pes anserinus is a common tendon comprising the tendinous insertions of the sartorius, gracilis, and semitendinosus muscles. It inserts at the anteromedial aspect of the tibia and plays a significant role in stabilization of the medial side of the knee joint. The current article presents a case with recurrent lateral patellar dislocations causing chronic stress along the medial knee stabilizers and consecutive enthesophyte formation at the insertion of the pes anserinus tendon that showed a transverse fracture upon a subsequent incident of traumatic lateral patellar dislocation. Avulsion injuries of the pes anserinus tendon are rarely encountered, and to our knowledge, association with recurrent lateral patellar dislocations has not been described before.

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Rupture of superficial pes anserinus and partial rupture of patellar ligament as rare concomitant lesions of complex knee joint injuries

Cited by 5 publications

References 0 publications

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Diving Pes Anserine Bursal Rupture in a Patient with Knee Osteoarthritis: Case Report

Avulsion fracture of an ossified pes anserinus tendon post-lateral patellar dislocation

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