Journal List > J Korean Orthop Assoc > v.54(2) > 1121865

Whan-Yong, Sang, and Seung-Yong: Symptomatic Calcific Deposition in Posterior Cruciate Ligament of the Knee

Abstract

Calcium deposition disease, including calcific tendinitis, rarely affects the knee joint. Only a few cases can be found in the literatures and there is no case report of symptomatic calcific deposition arising from the posterior cruciate ligament in Korea. The authors encountered a case of symptomatic calcific deposition arising from the posterior cruciate ligament, which was excised arthroscopically and confirmed pathologically. This paper reports this case with a review of the relevant literature.

References

1. Chan R, Kim DH, Millett PJ, Weissman BN. Calcifying tendinitis of the rotator cuff with cortical bone erosion. Skeletal Radiol. 2004. 33:596–9.
crossref
2. Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg. 1997. 5:183–91.
crossref
3. Holt PD, Keats TE. Calcific tendinitis: a review of the usual and unusual. Skeletal Radiol. 1993. 22:1–9.
crossref
4. McKendry RJ, Uhthoff HK, Sarkar K, Hyslop PS. Calcifying tendinitis of the shoulder: prognostic value of clinical, histologic, and radiologic features in 57 surgically treated cases. J Rheumatol. 1982. 9:75–80.
5. Shenoy PM, Kim DH, Wang KH. . Calcific tendinitis of popliteus tendon: arthroscopic excision and biopsy. Orthopedics. 2009. 32:127.
crossref
6. Tibrewal SB. Acute calcific tendinitis of the popliteus tendon: an unusual site and clinical syndrome. Ann R Coll Surg Engl. 2002. 84:338–41.
7. Chan W, Chase HE, Cahir JG, Walton NP. Calcific tendinitis of biceps femoris: an unusual site and cause for lateral knee pain. BMJ Case Rep. 2016. 2016. pii: bcr2016215745.
crossref
8. Song K, Dong J, Zhang Y. . Arthroscopic management of calcific tendonitis of the medial collateral ligament. Knee. 2013. 20:63–5.
crossref
9. Molloy ES, McCarthy GM. Hydroxyapatite deposition disease of the joint. Curr Rheumatol Rep. 2003. 5:215–21.
crossref
10. Kim MK, Bae JH, Jeon YS. Conservative and early ar-throscopic treatment of calcific tendinitis. J Korean Ar-throscop Soc. 2009. 13:149–54.

Figure 1.
Plain anteroposterior (A) and lateral (B) radiographs of the left knee demonstrating a calcific lesion just below intercondylar notch (arrows).
jkoa-54-172f1.tif
Figure 2.
(A) Sagittal magnetic resonance imaging, T2-weighted of the left knee. A round mass with well circumscribed intermediate signal intensity was observed just inferior to the posterior cruciate ligament (PCL). (B) A low signal intensity mass was noted in the posterior aspect of the PCL in T1-weighted image.
jkoa-54-172f2.tif
Figure 3.
(A) On the anterolateral portal view, there were calcific deposits with a ‘tooth-paste’ consistency arising from the posterior cruciate ligament. (B) After excising the mass from the anteromedial portal with the shaver, it was removed completely by an arthroscopic technique.
jkoa-54-172f3.tif
Figure 4.
Postoperative plain anteroposterior radiograph of the left knee demonstrating that a calcific lesion has disappeared.
jkoa-54-172f4.tif
Figure 5.
In H&E staining (×200), laminated or amorphous calcific deposition can be seen between the degenerated tendon fibers.
jkoa-54-172f5.tif
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