Anatomical Repair of Stener-like Lesion of Medial Collateral Ligament: A case Series and Technical Note

Document Type : TECHNICAL NOTE

Authors

1 Orthopedic Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Orthopedic Department, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran

Abstract

Medial collateral ligament tears usually will be treated through non-surgical methods, but, in some cases such as those
with tears at the distal insertion where the reduction could be blocked by the pes anserine tendons (Stener-like lesion), surgery
will be performed. Here, we present a surgical technique in such cases. In this retrospective case series, we describe
six patients diagnosed with Stener-like lesion based on clinical evaluation and imaging results. In the one-year follow-up
visit, there was no complaining of pain or joint instability and full range of motion and negative valgus stress test were
reported in all cases. The results showed this surgical technique is a useful and safe treatment approach in such cases.

Keywords

Main Subjects


1. Doral MN, Kaya D, Huri G, Turhan E, Donmez G, Bileg O,
et al. Minimal invasive acute medial collateral ligament
stabilization with partial anterior cruciate ligament
deficiency. Clin Exp Med Sci. 2013; 1(2):69-81.
2. Hughston JC, Andrews J, Cross M, Moschi A.
Classification of knee ligament instabilities. Part I.
The medial compartment and cruciate ligaments. J
Bone Joint Surg Am. 1976; 58(2):159-72.
3. LaPrade RF, Bernhardson AS, Griffith CJ, Macalena
JA, Wijdicks CA. Correlation of valgus stress
radiographs with medial knee ligament injuries an
in vitro biomechanical study. Am J Sport Med. 2010;
38(2):330-8.
4. Zheng X, Li T, Wang J, Dong J, Gao S. Medial collateral
ligament reconstruction using bone-patellar tendonbone
allograft for chronic medial knee instability
combined with multi-ligament injuries: a new
technique. J Orthop Surg Res. 2016; 11(1):85.
5. Lubowitz JH, MacKay G, Gilmer B. Knee medial
collateral ligament and posteromedial corner
anatomic repair with internal bracing. Arthroscopy
Tech. 2014; 3(4):e505-8.
6. Craft JA, Kurzweil PR. Physical examination
and imaging of medial collateral ligament and
posteromedial corner of the knee. Sports Med
Arthrosc. 2015; 23(2):e1-6.
7. Stener B. Displacement of the ruptured ulnar
collateral ligament of the metacarpo-phalangeal joint
of the thumb. Bone Joint J. 1962; 44(4):869-79.
8. Corten K, Hoser C, Fink C, Bellemans J. Case reports: a
Stener-like lesion of the medial collateral ligament of
the knee. Clin Orthop Rel Res. 2010; 468(1):289-93.
9. Taketomi S, Uchiyama E, Nakagawa T, Takeda H,
Nakayama S, Fukai A, et al. Clinical features and injury
patterns of medial collateral ligament tibial side
avulsions:“Wave sign” on magnetic resonance imaging
is essential for diagnosis. Knee. 2014; 21(6):1151-5.
10. Liu F, Yue B, Gadikota HR, Kozanek M, Liu W, Gill TJ, et
al. Morphology of the medial collateral ligament of the
knee. J Orthop Surg Res. 2010; 5(1):69.