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Kim: Effects of Prolotherapy on Medial Collateral Ligament Bursitis of the Knee Joint Identified with High Resolution Ultrasound
Case Report

Journal of the Korean Orthopaedic Association 2019; 54(5): 469-473.

Published online: 30 October 2019

DOI: https://doi.org/10.4055/jkoa.2019.54.5.469

Effects of Prolotherapy on Medial Collateral Ligament Bursitis of the Knee Joint Identified with High Resolution Ultrasound

Eung-Rok Kim, M.D., Ph.D.

Dr. Kim's Orthopaedic Clinic, Jincheon, Korea.

Correspondence to: Eung-Rok Kim, M.D., Ph.D. Dr. Kim's Orthopaedic Clinic, 98 Janggi-gil, Gwanghyewon-myeon, Jincheon 27805, Korea. TEL: +82-43-535-9901 FAX: +82-43-535-9903, topofos@naver.com

Received 31 August 2018       Revised 10 October 2018       Accepted 20 December 2018

Copyright © 2019 by The Korean Orthopaedic Association

The Korean Orthopaedic Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Medial knee joint pain is a common problem in the field of orthopedics. In these patients, a high resolution ultrasound examination can reveal medial collateral ligament (MCL) bursitis, meniscal cyst, degeneration changes to the MCL and meniscal protrusion etc. Prolotherapy is effective in these patients. The author performed prolotherapy for MCL bursitis of the knee joint, and confirmed the disappearance of the bursitis using high resolution ultrasound.

Keywords: medial collateral ligament bursitis, prolotherapy, high resolution ultrasound

Figures and Tables

Figure 1

Radiographics of the right knee. (A) Anteroposterior; (B) Lateral; (C) Skyline. No definite bony abnormality.

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Figure 2

Long axis scan (before prolotherapy). Inhomogeneous hypoechoic lesion on the knee medial side. Crural fascia (a), superficial medial collateral ligament (MCL) (b), deep MCL (c), hypoechoic lesion between the crural fascia and superficial fiber of the MCL (d), hypoechoic lesion between the superficial fiber of the MCL and deep fiber of the MCL (e). F, femur; MM, medial meniscus; T, tibia.

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Figure 3

Long axis scan. (A) Before prolotherapy. (B, C) After prolotherapy (5 months later). Inhomogeneous hypoechoic lesion on the knee medial side (a–c), superficial fiber of the medial collateral ligament (MCL) (d), deep fiber of the MCL (e), disappearance of previous hypoechoic lesion (f), crural fascia (g). F, femur; MM, medial meniscus; T, tibia.

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Figure 4

Short axis scan. (A) Before prolotherapy. (B) After prolotherapy (5 months later). Inhomogeneous hypoechoic lesion on the knee medial side (a), the disappearance of previous hypoechoic lesion (b). F, femur; sMCL, superficial fiber of the medial collateral ligament.

jkoa-54-469-g004

Notes

CONFLICTS OF INTEREST The author has nothing to disclose.

References

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ORCID iDs

Eung-Rok Kim
https://orcid.org/0000-0001-7775-9224

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