Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report

Introduction: Because of its anatomical location and function it is likely that some damage (e.g. strain or (partial) rupture) to the PA could occur in multiligamentous knee injury caused by valgus stress, but it could be obscured due to larger distracting pathologies. To our knowledge, this report...

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Main Authors: J.F.H. Reijmer, S. van Gennip, B.J. Robben
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X22000674
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author J.F.H. Reijmer
S. van Gennip
B.J. Robben
author_facet J.F.H. Reijmer
S. van Gennip
B.J. Robben
author_sort J.F.H. Reijmer
collection DOAJ
description Introduction: Because of its anatomical location and function it is likely that some damage (e.g. strain or (partial) rupture) to the PA could occur in multiligamentous knee injury caused by valgus stress, but it could be obscured due to larger distracting pathologies. To our knowledge, this report is the first to describe a case of multiligamentous knee injury with additional Pes Anserinus rupture and displacement towards intra-articular and its surgical management.Case report: We present a rare case of multiligamentous knee injury with an additional intra-articular displacement of the Pes Anserinus. The surgical intervention consisted of augmented medial collateral ligament repair, re-insertion of the Pes Anserinus, and at a later stage, anterior cruciate ligament reconstruction.Conclusion: Pes Anserinus rupture is uncommon and has not yet been described in relation to multiligamentous knee injury. There is a lack of evidence-based literature regarding its therapeutic management and functional outcomes. In the presented case we successfully have used a direct surgical approach because of the intra-articular positioning of the Pes Anserinus.
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spelling doaj.art-1269ffad985d43a397ae1c27413113062022-12-22T03:37:49ZengElsevierJournal of Orthopaedic Reports2773-157X2022-09-0113100061Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case reportJ.F.H. Reijmer0S. van Gennip1B.J. Robben2Corresponding author.; Department of Orthopaedics, Rijnstate Hospital, Wagnerlaan 55, 6815 AD, Arnhem, the NetherlandsDepartment of Orthopaedics, Rijnstate Hospital, Wagnerlaan 55, 6815 AD, Arnhem, the NetherlandsDepartment of Orthopaedics, Rijnstate Hospital, Wagnerlaan 55, 6815 AD, Arnhem, the NetherlandsIntroduction: Because of its anatomical location and function it is likely that some damage (e.g. strain or (partial) rupture) to the PA could occur in multiligamentous knee injury caused by valgus stress, but it could be obscured due to larger distracting pathologies. To our knowledge, this report is the first to describe a case of multiligamentous knee injury with additional Pes Anserinus rupture and displacement towards intra-articular and its surgical management.Case report: We present a rare case of multiligamentous knee injury with an additional intra-articular displacement of the Pes Anserinus. The surgical intervention consisted of augmented medial collateral ligament repair, re-insertion of the Pes Anserinus, and at a later stage, anterior cruciate ligament reconstruction.Conclusion: Pes Anserinus rupture is uncommon and has not yet been described in relation to multiligamentous knee injury. There is a lack of evidence-based literature regarding its therapeutic management and functional outcomes. In the presented case we successfully have used a direct surgical approach because of the intra-articular positioning of the Pes Anserinus.http://www.sciencedirect.com/science/article/pii/S2773157X22000674Knee injuriesKnee dislocationMedial collateral ligamentKneeAnterior cruciate ligament injuries
spellingShingle J.F.H. Reijmer
S. van Gennip
B.J. Robben
Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
Journal of Orthopaedic Reports
Knee injuries
Knee dislocation
Medial collateral ligament
Knee
Anterior cruciate ligament injuries
title Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
title_full Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
title_fullStr Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
title_full_unstemmed Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
title_short Intra-articular displacement of the Pes Anserinus in a patient with multiligamentous knee injury: A case report
title_sort intra articular displacement of the pes anserinus in a patient with multiligamentous knee injury a case report
topic Knee injuries
Knee dislocation
Medial collateral ligament
Knee
Anterior cruciate ligament injuries
url http://www.sciencedirect.com/science/article/pii/S2773157X22000674
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AT svangennip intraarticulardisplacementofthepesanserinusinapatientwithmultiligamentouskneeinjuryacasereport
AT bjrobben intraarticulardisplacementofthepesanserinusinapatientwithmultiligamentouskneeinjuryacasereport