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DOI: 10.1055/s-0044-1793807
Calcific Enthesitis of Lateral Patellofemoral Ligament: A Rare Cause of Anterolateral Knee Pain
Funding None.
Abstract
Hydroxyapatite deposition disease is a common musculoskeletal pathology that often affects rotator cuff tendons in the shoulder joint. Here, we present the first documented case of acute calcific enthesitis involving the lateral patellar retinaculum, specifically the lateral patellofemoral ligament (LPFL). A 35-year-old male presented with insidious onset atraumatic pain persisting for 3 months on the lateral aspect of the knee, intensifying over the past week. Clinical examination revealed focal tenderness in the anterolateral region of the knee, with no signs of patellar instability. Magnetic resonance imaging was performed, which revealed thickening and calcification within the LPFL and perilesional edema, further confirmed on computed tomography and ultrasonography. Patient was managed successfully with barbotage with complete resolution of symptoms. This case highlights the importance of considering calcification of LPFL in the differential diagnosis of anterolateral knee pain and underscores the importance of different imaging modalities for prompt diagnosis.
Patient's Consent
Informed consent obtained from patient.
Publikationsverlauf
Artikel online veröffentlicht:
19. November 2024
© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Beckmann NM. Calcium apatite deposition disease: diagnosis and treatment. Radiol Res Pract 2016; 2016: 4801474
- 2 Dimmick S, Hayter C, Linklater J. Acute calcific periarthritis-a commonly misdiagnosed pathology. Skeletal Radiol 2022; 51 (08) 1553-1561
- 3 Matsuda M, Yamamoto A, Sasahara J, Oba H, Furui S. Symptomatic calcification of the lateral collateral ligament: a case report. Acta Radiol Open 2018; 7 (12) 2058460118813635
- 4 Merican AM, Amis AA. Anatomy of the lateral retinaculum of the knee. J Bone Joint Surg Br 2008; 90 (04) 527-534
- 5 Shah KN, DeFroda SF, Ware JK, Koruprolu SC, Owens BD. Lateral patellofemoral ligament: an anatomic study. Orthop J Sports Med 2017; 5 (12) 2325967117741439
- 6 Siegal DS, Wu JS, Newman JS, Del Cura JL, Hochman MG. Calcific tendinitis: a pictorial review. Can Assoc Radiol J 2009; 60 (05) 263-272
- 7 Ariyaratne S, Babhulkar J, Babhulkar A, Iyengar KP, Botchu R. An unusual case of calcific periarthritis causing carpal tunnel syndrome and its management with ultrasound-guided barbotage. Indian J Radiol Imaging 2024; 34 (03) 553-557
- 8 Anderson SE, Bosshard C, Steinbach LS, Ballmer FT. MR imaging of calcification of the lateral collateral ligament of the knee: a rare abnormality and a cause of lateral knee pain. AJR Am J Roentgenol 2003; 181 (01) 199-202
- 9 Chowalloor PV, Siew TK, Keen HI. Imaging in gout: a review of the recent developments. Ther Adv Musculoskelet Dis 2014; 6 (04) 131-143
- 10 Bianchi S, Martinoli C. Ultrasound of the Musculoskeletal System. Springer, Diagnostic Imaging; Berlin, Germany: 2007
- 11 Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg 1997; 5 (04) 183-191
- 12 Iyengar KP, Yusta-Zato JA. R B. Calcific tendinopathy of the pronator quadratus muscle: a rare site and cause of ulnar sided wrist pain. J Clin Orthop Trauma 2022; 32: 101968
- 13 Shah A, Iyengar KP, Hegde G, Ramos J, Botchu R. Calcific enthesopathy of the superior extensor retinaculum - an unusual cause of medial ankle pain. J Ultrason 2022; 22 (91) e236-e239