Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review
Calcific periarthritis in the distal femur is a rare condition. Forty two year old Asian male visited to the outpatient clinic of orthopedic department with acute excruciating knee pain. The arthroscopic posterior cruciate ligament (PCL) reconstruction was performed 20 years ago with the bonepatella...
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| Language: | English |
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2017-12-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17301992 |
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| author | Eui-Chan Jang Han-Jun Lee Seong Hwan Kim Yoon-Ho Kwak |
| author_facet | Eui-Chan Jang Han-Jun Lee Seong Hwan Kim Yoon-Ho Kwak |
| author_sort | Eui-Chan Jang |
| collection | DOAJ |
| description | Calcific periarthritis in the distal femur is a rare condition. Forty two year old Asian male visited to the outpatient clinic of orthopedic department with acute excruciating knee pain. The arthroscopic posterior cruciate ligament (PCL) reconstruction was performed 20 years ago with the bonepatellar tendon-bone (BPTB) autograft combined with Trevira (polyethylene terephthalate) artificial ligament. Severe tenderness was noted incidentally over the medial epicondyle area of the distal femur which the cancellous screw was inserted for PCL reconstruction, without any preceding trauma history or medial joint line tenderness due to degenerative change. The poorly defined calcific deposition was found in plain radiograph. The arthroscopic debridement of the calcification and screw removal from the distal femur was performed due to resist to conservative treatment with analgesics. After operation, the symptoms were resolved completely. The arthroscopic debridement of calcific periarthritis should be considered in specific cases, such as refractory cases with conservative management during 4–6 weeks. We present the arthroscopic treatment of the symptomatic calcific periarthritis on distal femur after PCL reconstruction can be effective. Keywords: Calcific periarthritis, Distal femur, Arthroscopy, Posterior cruciate ligament reconstruction |
| format | Article |
| id | doaj-art-493b71ef7aae44779e6ceffbf3f7b752 |
| institution | Kabale University |
| issn | 1017-995X |
| language | English |
| publishDate | 2017-12-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj-art-493b71ef7aae44779e6ceffbf3f7b7522025-08-20T03:58:22ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-12-0151649549810.1016/j.aott.2017.03.017Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature reviewEui-Chan Jang0Han-Jun Lee1Seong Hwan Kim2Yoon-Ho Kwak3College of Medicine, Chung-Ang University, Seoul, Republic of KoreaCollege of Medicine, Chung-Ang University, Seoul, Republic of Korea; Corresponding author.Department of Orthopedic Surgery, Hanmaeum Changwon Hospital, Han-Yang University, Changwon, Republic of KoreaCollege of Medicine, Chung-Ang University, Seoul, Republic of KoreaCalcific periarthritis in the distal femur is a rare condition. Forty two year old Asian male visited to the outpatient clinic of orthopedic department with acute excruciating knee pain. The arthroscopic posterior cruciate ligament (PCL) reconstruction was performed 20 years ago with the bonepatellar tendon-bone (BPTB) autograft combined with Trevira (polyethylene terephthalate) artificial ligament. Severe tenderness was noted incidentally over the medial epicondyle area of the distal femur which the cancellous screw was inserted for PCL reconstruction, without any preceding trauma history or medial joint line tenderness due to degenerative change. The poorly defined calcific deposition was found in plain radiograph. The arthroscopic debridement of the calcification and screw removal from the distal femur was performed due to resist to conservative treatment with analgesics. After operation, the symptoms were resolved completely. The arthroscopic debridement of calcific periarthritis should be considered in specific cases, such as refractory cases with conservative management during 4–6 weeks. We present the arthroscopic treatment of the symptomatic calcific periarthritis on distal femur after PCL reconstruction can be effective. Keywords: Calcific periarthritis, Distal femur, Arthroscopy, Posterior cruciate ligament reconstructionhttp://www.sciencedirect.com/science/article/pii/S1017995X17301992 |
| spellingShingle | Eui-Chan Jang Han-Jun Lee Seong Hwan Kim Yoon-Ho Kwak Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review Acta Orthopaedica et Traumatologica Turcica |
| title | Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review |
| title_full | Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review |
| title_fullStr | Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review |
| title_full_unstemmed | Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review |
| title_short | Arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction: Case report and literature review |
| title_sort | arthroscopic treatment of symptomatic calcific periarthritis on the medial side of the knee after posterior cruciate ligament reconstruction case report and literature review |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17301992 |
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