Intraligamentous Calcification of the Medial Collateral Ligament Mimicking Pellegrini-Stieda Syndrome in a Lower-Extremity Amputee

Gökçen, Neslihan; Kelle, Bayram; Kozanoğlu, Erkan

doi:10.5152/tftrd.2015.91069

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Chang et al [8] used both methods to portray the disease. Gokcen et al characterized the problem in a young guy who had knee disarticulation utilizing both X-ray and Ct/MRI scanning simultaneously in an interesting article [14]. A 46-year-old lady was the subject of a similar investigation by song et al Muschol et al found that a conventional knee X-ray was sufficient for identifying MCL calcification in the knee [9].…”

Section: Discussionmentioning

confidence: 99%

Medial Collateral Ligament Calcification, Presenting as Knee Pain. An unusual Case Report

Antao¹,

Desouza²

2023

AJTES

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Background: The tibial collateral ligament, also known as the medial collateral ligament (MCL), is a ligament extending from the medial epicondyle of the femur to the posteromedial crest of the tibia. The ligament is a broad and strong band that mainly functions to stabilize the knee joint in the coronal plane on the medial side Since MCL calcification is not a frequent knee pain manifestation, exclusion of other confusing clinical mimicries is of paramount importance. Here, in this report, we describe a well-circumscribed calcific deposit in the left femoral condylar attachment of MCL reported very rarely in the medical literature. Case Report: A 37-year-old laborer presented to the Outpatient department with pain and flexion deformity of the Right knee for 6 months. He walked on a flexed knee with a limping gait. A plain radiograph of the right was taken in AP and Lateral view which showed a massive well-defined calcification at the medial side of the knee joint. Considering the large size of the lesion, surgical treatment was chosen. Intra-operatively, as the MCL was involved a reconstruction was done using the semitendinosus tendon. Conclusion: Chronic pain located at the medial side of the knee is not always osteoarthritic pain. Thorough clinical and radiological investigation with plain radiographs and MRI in some cases is mandatory. Calcification or ossification of the medial collateral ligament of the knee responds well to conservative treatment. Surgical resection is needed in some cases with larger lesions.

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Section: Discussionmentioning

confidence: 99%

Medial Collateral Ligament Calcification, Presenting as Knee Pain. An unusual Case Report

Antao¹,

Desouza²

2023

AJTES

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“…Hydroxyapatite calcifications of the MCL are uncommon, and to the authors' knowledge, only 11 case reports have described calcification of the MCL [ 16 , 20 - 29 ]. Calcifications are thought to be caused by soft tissue hypoxia leading to fibrocartilaginous metaplasia, cellular necrosis, and deposition of hydroxyapatite crystals [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Type 1 "beak-like" Extends into the MCL Type 2 "tear-drop" Localizes within the MCL, but detached from the femoral condyle Type 3 "elongated" Above femur within the adductor magnus tendon Type 4 "beak-like" Extends into the MCL and adductor magnus tendon Hydroxyapatite calcifications of the MCL are uncommon, and to the authors' knowledge, only 11 case reports have described calcification of the MCL [16,[20][21][22][23][24][25][26][27][28][29]. Calcifications are thought to be caused by soft tissue hypoxia leading to fibrocartilaginous metaplasia, cellular necrosis, and deposition of hydroxyapatite crystals [20].…”

Section: Appearance: Locationmentioning

confidence: 99%

Heterotopic Mineralization of the Medial Collateral Ligament: Our Experience Treating Two Cases of Calcific Versus Ossific Lesions With Ultrasonic Vacuum Debridement

Sung¹,

Raja²,

Tunis³

et al. 2023

Cureus

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Chronic injury to the medial collateral ligament (MCL) is common following an acute knee injury. This case report presents two patients that failed to respond to conservative treatment with clinical evidence of an MCL injury and radiographic finding of a benign-appearing soft tissue lesion in the MCL. Calcified or ossified lesions have been described with chronic MCL injuries. Ossification and calcification of the MCL have been observed as potential causes of chronic MCL pain. Here, we detail the distinction between these two distinct intra-ligamentous heterotopic deposits and describe a novel treatment approach using ultrasonic percutaneous debridement, a technique that is typically reserved for tendinopathies. In both cases, pain improved, and they were able to return to their prior level of function.

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“…In an interesting report, Gokcen et al. described the condition using both X-ray and CT/MRI scanning simultaneously, in a young man who experienced knee disarticulation ( 14 ). Song et al.…”

Section: Discussionmentioning

confidence: 99%

“…Chang et al also depicted the condition using both technologies (4). In an interesting report, Gokcen et al described the condition using both X-ray and CT/MRI scanning simultaneously, in a young man who experienced knee disarticulation (14). Song et al carried out a similar study on a 46-year-old woman (6).…”

Section: Discussionmentioning

confidence: 99%

Medial collateral ligament calcification: a rare knee pain entity with literature review

Siddiq

Jahan

2017

Acta Radiologica Open

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Medial knee pain can originate from both osseous and non-osseous soft tissue structures including medial collateral ligament (MCL), creating a raft for patients’ sufferings. Previously published works demonstrated MCL calcification as a rare medial knee pain entity. Alongside physical examination, radio-imaging techniques, namely conventional X-ray, CT/MRI scanning, etc. have been reported to be useful in recognizing MCL calcification. The present study demonstrates MCL calcification in a 60-year-old Asian-Bangladeshi woman, using high frequency diagnostic ultrasonogram and is the first reported study in the literature. To have available literature review, PubMed, Cochrane, Embase, and Scopus databases were used.

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Intraligamentous Calcification of the Medial Collateral Ligament Mimicking Pellegrini-Stieda Syndrome in a Lower-Extremity Amputee

Cited by 6 publications

References 9 publications

Medial Collateral Ligament Calcification, Presenting as Knee Pain. An unusual Case Report

Medial Collateral Ligament Calcification, Presenting as Knee Pain. An unusual Case Report

Heterotopic Mineralization of the Medial Collateral Ligament: Our Experience Treating Two Cases of Calcific Versus Ossific Lesions With Ultrasonic Vacuum Debridement

Medial collateral ligament calcification: a rare knee pain entity with literature review

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