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Radiology · Musculoskeletal imaging: Pellegrini-Stieda lesion
Sample itemWeeks after a valgus injury to the knee, a radiograph shows a curvilinear calcification adjacent to the medial femoral condyle. What is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pellegrini-Stieda lesion
Pellegrini-Stieda disease is calcification or ossification at the femoral attachment of the medial collateral ligament after an old injury. A Segond fracture is an avulsion of the lateral tibial plateau linked to an anterior cruciate tear. Osgood-Schlatter affects the tibial tubercle.
Option by option
A. Osgood-Schlatter disease
Osgood-Schlatter disease involves the tibial tubercle in adolescents.
B. Pellegrini-Stieda lesion (correct)
Correct. Calcification at the medial collateral ligament origin is Pellegrini-Stieda.
C. Osteochondroma
An osteochondroma is a bony outgrowth continuous with the cortex and marrow.
D. Segond fracture
A Segond fracture is on the lateral tibial plateau.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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