Treatment of a calcific bursitis of the medial collateral ligament: a rare cause of painful knee View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-27

AUTHORS

Lisa Galletti, Vincenzo Ricci, Ernesto Andreoli, Stefano Galletti

ABSTRACT

Medial knee pain is common in clinical practice and can be caused by various conditions. In rare cases, it can even be by calcific bursitis of the medial collateral ligament (MCL). Treatment of calcific bursitis and/or calcification of the MCL classically includes observation, local injections, shockwave therapy and surgical resection. We report a case of nontraumatic medial knee pain poorly responsive to conservative treatments. Ultrasound (US) imaging revealed a massive lobed hyperechoic formation with partial acoustic shadow in the MCL context compatible with calcific bursitis, and magnetic resonance imaging (MRI) confirmed the presence of the bursa's calcific deposit surrounded by hyperintense signal compatible with pericalcific edema. We performed a double-needle ultrasound-guided percutaneous lavage (UGPL), which is today a fairly common treatment for many musculoskeletal disorders, such as rotator cuff calcific tendinopathy and elbow extensor tendons pathology, but regarding the knee, it is not part of ordinary care. This report shows the clinical and imaging presentation of calcific bursitis of the MCL and describes in detail the technique to perform the UGPL with a system of two needles, two syringes and a double connection to ensure a correct lavage of the calcium deposit without significant intrabursal pressure increase and consequently without pain during the procedure. More... »

PAGES

1-6

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40477-018-0353-y

DOI

http://dx.doi.org/10.1007/s40477-018-0353-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112400589

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30811015


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