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Pellegrini-Stieda syndrome is an insult to the medial collateral ligament (MCL), causing damage and acute inflammation that sets into motion and delays ossification. [2] This insult is described as a macro trauma causing valgus stress with disruption of the MCL fibers.
In 1959, Hamming and Vink first described the management of the PAES in a 12-year-old patient. The patient was treated with myotomy of the medial head of the gastrocnemius muscle and concomitant endarterectomy of the popliteal artery. They later reported four more cases and claimed that the incidence of this pathology in patients younger than ...
In adults, Baker's cysts usually arise from almost any form of knee arthritis (e.g., rheumatoid arthritis) or cartilage (particularly a meniscus) tear. Baker's cysts in children do not point to underlying joint disease. Baker's cysts arise between the tendons of the medial head of the gastrocnemius and the semimembranosus muscles.
The gastrocnemius muscle may also become inflamed due to overuse. Anti-inflammatory medications and physical therapy (heat, massage, and stretching) may be useful. Anatomical abnormalities involving the medial head of gastrocnemius muscle result in popliteal artery entrapment syndrome.
This complex is the major stabilizer of the medial knee. Injuries to the medial side of the knee are most commonly isolated to these ligaments. [1] [3] A thorough understanding of the anatomy and function of the medial knee structures, along with a detailed history and physical exam, are imperative to diagnosing and treating these injuries.
A common injury that is normally attributed to the plantaris muscle is a condition called tennis leg. Although pain in the calf can be attributed to a rupture of the plantaris muscle, recent ultrasound research has shown that tennis leg more commonly arises from tears in the musculotendinous junction of the medial gastrocnemius. In one clinical ...
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