search for




 

Arthroscopic removal of calcific deposits in the lateral collateral ligament combined with lateral femoral condyle erosion of the knee: a case report
Arthrosc Orthop Sports Med 2019;6:25-28
Published online May 1, 2019;  https://doi.org/10.14517/aosm18007
© 2019 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Jong-Hun Ji, Kwang-Sub Kim, Seok-Jae Park

Department of Orthopedic Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea
Correspondence to: Kwang-Sub Kim, https://orcid.org/0000-0002-6929-5359, Department of Orthopedic Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 64 Daeheungro, Jung-gu, Daejeon 34943, Korea. Tel: +82-42-544-0025, Fax: +82-42-252-6807, E-mail: hereksk@gmail.com
Received June 25, 2018; Revised October 13, 2018; Accepted November 12, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Calcific deposition in the lateral collateral ligament of the knee joint is a rare condition. The present study reports the case of calcific deposition involving the lateral femoral condyle eroding the bone cortex without trauma. A 58-year-old woman presented with pain emanating from the lateral aspect of the left knee joint that began 2 months earlier. The patient’s symptoms persisted despite the use of anti-inflammatory medication for more than 2 months. The calcific deposits were removed using an arthroscopic procedure. There have been relatively few reports of arthroscopic removal of calcific deposits. Conservative management is the first-line treatment for calcific deposition. If long-term conservative treatment fails, removal of calcific deposits from the lateral collateral ligament can relieve the symptoms of persistent pain and erosion of the lateral femoral condyle.
Keywords : Calcific deposits; Lateral collateral ligament; Periarthritis; Arthroscopy
References
  1. Khan I, Rashid MI. Calcification of the lateral collateral ligament of the knee: a rare cause of acute knee pain. J Coll Physicians Surg Pak 2012;22:389-91.
  2. White WJ, Sarraf KM, Schranz P. Acute calcific deposition in the lateral collateral ligament of the knee. J Knee Surg 2013;26 Suppl 1:S116-9.
    Pubmed CrossRef
  3. Tennent TD, Goradia VK. Arthroscopic management of calcific tendinitis of the popliteus tendon. Arthroscopy 2003;19:E35.
    Pubmed CrossRef
  4. Oliva F, Via AG, Maffulli N. Physiopathology of intratendinous calcific deposition. BMC Med 2012;10:95.
    Pubmed KoreaMed CrossRef
  5. Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff:pathogenesis, diagnosis, and management. J Am Acad Orthop Surg 1997;5:183-91.
    CrossRef
  6. Schindler K, O’Keefe P, Bohn T, Sundaram M. The case: your diagnosis? Calcific tendonitis of the fibular collateral ligament. Orthopedics 2006;29:282, 373-5.
  7. Holden NT. Deposition of calcium salts in the popliteus tendon. J Bone Joint Surg Br 1955;37:446-7.
    Pubmed CrossRef
  8. Anderson SE, Bosshard C, Steinbach LS, Ballmer FT. MR imaging of calcification of the lateral collateral ligament of the knee:a rare abnormality and a cause of lateral knee pain. AJR Am J Roentgenol 2003;181:199-202.
    Pubmed CrossRef
  9. Durcan L, Bolster F, Kavanagh EC, McCarthy GM. The structural consequences of calcium crystal deposition. Rheum Dis Clin North Am 2014;40:311-28.
    Pubmed CrossRef