MCL calcification presenting as knee pain

Bibliographic Details
Title: MCL calcification presenting as knee pain
Authors: Nicholas Antao, Clevio Desouza
Source: Journal of Orthopaedic Reports, Vol 1, Iss 4, Pp 100096- (2022)
Publisher Information: Elsevier, 2022.
Publication Year: 2022
Collection: LCC:Orthopedic surgery
Subject Terms: MCL, Calcification, Graft, Tophus, Orthopedic surgery, RD701-811
More Details: 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 medical literature. Case report: A 37-year-old labourer presented to the Outpatient department with pain and flexion deformity of Right knee for 6 months. He walked on a flexed knee with a limping gait. 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 medical collateral ligament of the knee responds well to conservative treatment. Surgical resection is needed in some cases with larger lesions.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2773-157X
Relation: http://www.sciencedirect.com/science/article/pii/S2773157X22001023; https://doaj.org/toc/2773-157X
DOI: 10.1016/j.jorep.2022.100096
Access URL: https://doaj.org/article/2b585e710e024059914fb0f931ae0049
Accession Number: edsdoj.2b585e710e024059914fb0f931ae0049
Database: Directory of Open Access Journals
More Details
ISSN:2773157X
DOI:10.1016/j.jorep.2022.100096
Published in:Journal of Orthopaedic Reports
Language:English