• Bmc Musculoskel Dis · Jul 2016

    Case Reports

    Case report - calcification of the medial collateral ligament of the knee with simultaneous calcifying tendinitis of the rotator cuff.

    • Yama Kamawal, Andre F Steinert, Boris M Holzapfel, Maximilian Rudert, and Thomas Barthel.
    • Department of Orthopaedic Surgery, Koenig-Ludwig-Haus, Julius-Maximilians-University Wuerzburg, Brettreichstraße 11, D- 97074, Wuerzburg, Germany. y-kamawal.klh@uni-wuerzburg.de.
    • Bmc Musculoskel Dis. 2016 Jul 13; 17: 283.

    BackgroundCalcification of the medial collateral ligament (MCL) of the knee is a very rare disease. We report on a case of a patient with a calcifying lesion within the MCL and simultaneous calcifying tendinitis of the rotator cuff in both shoulders.Case PresentationCalcification of the MCL was diagnosed both via x-ray and magnetic resonance imaging (MRI) and was successfully treated surgically. Calcifying tendinitis of the rotator cuff was successfully treated applying conservative methods.ConclusionThis is the first case report of a patient suffering from both a calcifying lesion within the medial collateral ligament and calcifying tendinitis of the rotator cuff in both shoulders. Clinical symptoms, radio-morphological characteristics and macroscopic features were very similar and therefore it can be postulated that the underlying pathophysiology is the same in both diseases. Our experience suggests that magnetic resonance imaging and x-ray are invaluable tools for the diagnosis of this inflammatory calcifying disease of the ligament, and that surgical repair provides a good outcome if conservative treatment fails. It seems that calcification of the MCL is more likely to require surgery than calcifying tendinitis of the rotator cuff. However, the exact reason for this remains unclear to date.

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