Acute calcific deposition in the lateral collateral ligament of the knee.

2.50
Hdl Handle:
http://hdl.handle.net/11287/597180
Title:
Acute calcific deposition in the lateral collateral ligament of the knee.
Authors:
White, W J; Sarraf, K M; Schranz, Peter J.
Abstract:
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.
Citation:
Acute calcific deposition in the lateral collateral ligament of the knee. 2013, 26 Suppl 1:S116-9 J Knee Surg
Publisher:
Thieme
Journal:
The journal of knee surgery
Issue Date:
Dec-2013
URI:
http://hdl.handle.net/11287/597180
DOI:
10.1055/s-0032-1324815
PubMed ID:
23288749
Additional Links:
http://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1324815
Type:
Case report
Language:
en
ISSN:
1538-8506
Appears in Collections:
Exeter Knee Reconstruction Unit (EKRU); pre-2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorWhite, W Jen
dc.contributor.authorSarraf, K Men
dc.contributor.authorSchranz, Peter J.en
dc.date.accessioned2016-02-25T11:20:09Zen
dc.date.available2016-02-25T11:20:09Zen
dc.date.issued2013-12en
dc.identifier.citationAcute calcific deposition in the lateral collateral ligament of the knee. 2013, 26 Suppl 1:S116-9 J Knee Surgen
dc.identifier.issn1538-8506en
dc.identifier.pmid23288749en
dc.identifier.doi10.1055/s-0032-1324815en
dc.identifier.urihttp://hdl.handle.net/11287/597180en
dc.description.abstractWe 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.en
dc.language.isoenen
dc.publisherThiemeen
dc.relation.urlhttp://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1324815en
dc.rightsArchived with thanks to The journal of knee surgeryen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleAcute calcific deposition in the lateral collateral ligament of the knee.en
dc.typeCase reporten
dc.identifier.journalThe journal of knee surgeryen
dc.type.versionPublisheden

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