Calcific tendonitis of the quadriceps

Varghese, Bobin; Radcliffe, Graham; Groves, Clare

doi:10.1136/bjsm.2005.020917

Cited by 23 publications

(8 citation statements)

References 5 publications

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“…It is a common occurrence around the shoulder, 1 but it can occur rarely in tendons elsewhere in the body. 3,5,6,14 Calcific tendinitis of the biceps brachii insertion on the radius was reported in 1994 7 and 2002 12 in the English-language literature. Both patients had pain and restriction of movement.…”

Section: Discussionmentioning

confidence: 96%

Calcific tendinitis at the radial insertion of the biceps brachii: A case report

Park

Gupta

Park

2008

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 96%

Calcific tendinitis at the radial insertion of the biceps brachii: A case report

Park

Gupta

Park

2008

Journal of Shoulder and Elbow Surgery

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“…Calcification of the entire quadriceps tendon has not, to our knowledge, been previously reported. Calcification has previously been associated with other pathologies, such as chondrocalcinosis [ 2 ], uraemia [ 6 ] and quadriceps rupture [ 7 , 8 ] and calcification is believed to be a cell-mediated event [ 9 ]. In this case, however, the trigger for calcification was unclear given no evidence of abnormal calcium handling or any history of knee problems.…”

Section: Discussionmentioning

confidence: 99%

Calcific tendonitis of the quadriceps tendon

Webb

Hopper

Chitnavis

2018

Journal of Surgical Case Reports

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A 61-year-old woman presented with chronic anterior pain and stiffness in the distal left thigh. Examination revealed swelling and tenderness immediately proximal to the patella. Radiographs showed opacities in the distal anterior thigh whilst MRI identified enlargement of the distal quadriceps tendon with splayed fibres separated by solid conglomerates. Dystrophic calcification of the quadriceps tendon was diagnosed. Blood tests revealed no systemic abnormalities in calcium handling. Arthroscopy of the left knee identified calcific deposits in the supra-patella pouch with surrounding synovitis. An open debridement of the tendon was performed; biopsy of the excised tendon showed chronic tenosynovitis with dystrophic calcification without evidence of malignancy. Post-operatively her knee was braced in extension enabling progressive flexion over 4 weeks. Anterior knee pain diminished post-operatively and 10 months following surgery the patient was pain free, able to walk normally and scored 99/100 on the Fulkerson modification of the Lysholm score.

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“…The condition has also been described in the quadriceps tendon, medial collateral, and lateral collateral ligament. [6][7][8][9] Acute calcific tendinitis of the lateral collateral ligament is a rare condition. There have been very few reports of this in the literature to date.…”

Section: Discussionmentioning

confidence: 99%

Acute Calcific Deposition in the Lateral Collateral Ligament of the Knee

2012

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We present a rare case of a patient presenting with acute onset knee pain, which was subsequently diagnosed and treated as acute calcific deposition in the lateral collateral ligament. A 51-year-old gentleman presented to the emergency department with acute onset, excruciating, and left knee pain. There was no preceding history of trauma or systemic upset. Examination revealed exquisite tenderness over the lateral aspect of the knee with leg edema and an associated knee effusion. Blood tests showed a raised C-reactive protein. Plain radiographs of the knee showed a poorly defined calcific deposition with a "cloud-like" configuration. Following exclusion of all more threatening causes of symptoms, the patient was diagnosed with acute calcific tendinitis. The patient's pain was unremitting despite intravenous opiates, and he was taken to the operation theater for exploration and removal of the irritant crystal deposition from the lateral fibular collateral ligament resulting in complete resolution of symptoms. Acute calcific deposition in the lateral collateral ligament is a rare condition. There have been very few reports of this in the literature to date, and no reported cases of surgical excision. Calcific deposition can be treated successfully using conservative measures with symptoms settling after 4 to 6 weeks, however operative excision has been shown to be appropriate in specific cases. Acute calcific deposition should be considered in patients with unexplained acute knee pain and swelling, following the exclusion of other more common conditions. We present the first operatively treated case with accompanying radiology images, intraoperative medical photography, and histological slides.

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Calcific tendonitis of the quadriceps

Cited by 23 publications

References 5 publications

Calcific tendinitis at the radial insertion of the biceps brachii: A case report

Calcific tendinitis at the radial insertion of the biceps brachii: A case report

Calcific tendonitis of the quadriceps tendon

Acute Calcific Deposition in the Lateral Collateral Ligament of the Knee

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