scholarly journals Arthroscopic Excision of Calcification in Lateral Collateral Ligament of Knee with Direct Lateral (Bengaluru Chandrashekar) Portal

2019 ◽  
pp. 5-14
Author(s):  
Chandrashekar Puttaswamy ◽  
Nataraj Honnavalli Mallappa ◽  
Nagaraja Handenahally ◽  
Srinivasula Reddy Avula
Keyword(s):  
Case Reports ◽  
Lateral Collateral Ligament ◽  
Connective Tissues ◽  
Collateral Ligament ◽  
Calcific Deposit ◽  
Apatite Crystals ◽  
Arthroscopic Excision ◽  
Rare Location ◽  
Apatite Deposition ◽  
Calcific Deposits

Calcium apatite deposition disease (CADD) is a common entity characterized by deposition of calcium apatite crystals within and around connective tissues, usually in a periarticular location 1. Many different locations of CADD have been described amongst which, lateral collateral ligament (LCL) of the knee is a rare location 2. The first ever case of calcific deposits in the lateral collateral ligament of the knee was reported by Anderson et al 3 in 2003. A few isolated case reports of LCL calcification are published in the literature 4,5 but arthroscopic excision of calcific deposit in LCL has not been described yet in the literature. Here we are describing 2 cases of arthroscopic excision of calcific deposits in LCL of the knee by a new portal called ‘Direct lateral portal' for the knee.

Graft Site Morbidity in Elbow Ligament Reconstruction Procedures: A Systematic Review

2017 ◽  
Vol 45 (14) ◽  
pp. 3382-3387 ◽  
Author(s):  
Noortje C. Hagemeijer ◽  
Femke M.A.P. Claessen ◽  
Roel de Haan ◽  
Roeland Riedijk ◽  
Denise E. Eygendaal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ligament Reconstruction ◽  
Case Reports ◽  
Meta Analysis ◽  
Lateral Collateral Ligament ◽  
Extensor Tendon ◽  
Morbidity Rate ◽  
Collateral Ligament ◽  
Reconstruction Procedure ◽  
Longus Tendon

Background: It is unclear which tendon harvest for ulnar or lateral collateral ligament reconstruction has the lowest graft site morbidity rate. Purposes: To obtain graft site morbidity rates after tendon harvest for ulnar and lateral collateral ligament reconstruction procedures. Study Design: Systematic review/Meta-analysis. Methods: Studies were eligible if (1) patients had undergone elbow ligament reconstruction procedures; (2) original data for at least 5 patients were available; (3) the article was written in English, German, or Dutch; (4) a full-text article was available; and (5) information about graft site morbidity was available. The review excluded studies about complicated elbow ligament reconstruction procedures due to initial fractures, revision procedures, or circumferential graft techniques; animal studies; (systematic) reviews; and expert opinions. Because the majority of studies were case reports, no selection form or overall scoring system to evaluate methodological quality was used. Results: The review included 619 patients with an ulnar or lateral collateral ligament reconstruction procedure. The autograft types used included palmaris longus tendon (58%), gracilis tendon (24%), semitendinosus tendon (8%), triceps tendon (7%), toe extensor tendon (<2%), plantaris tendon (<2%), extensor carpi radialis longus tendon (<1%), and Achilles tendon (<1%). Conclusion: Graft site morbidity occurred in 1% of the patients after an ulnar or lateral collateral ligament reconstruction procedure. This study did not have enough samples of all the autograft types to conclude that autograft type and graft site morbidity are unrelated.

scholarly journals Symptomatic calcification of the lateral collateral ligament: a case report

2018 ◽  
Vol 7 (12) ◽  
pp. 205846011881363
Author(s):  
Megumi Matsuda ◽  
Asako Yamamoto ◽  
Jun Sasahara ◽  
Hiroshi Oba ◽  
Shigeru Furui
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Symptoms ◽  
Lateral Collateral Ligament ◽  
Resonance Imaging ◽  
Collateral Ligament ◽  
Initial Examination ◽  
Locomotor System ◽  
Pathologic Condition ◽  
Calcific Deposits

Symptomatic calcification is an entity in which hydroxyapatite calcific deposits cause inflammation, then burst and dissolve into the surrounding structures. Although a well-known pathologic condition in the rotator cuff tendons, it can also occur in other structures of the locomotor system. Radiographs are usually taken at the initial examination but can also be useful for follow-up evaluation of the course of the calcified matter. Here, we present a case of symptomatic calcification of the lateral collateral ligament of the knee, in which movement of the calcified matter could be observed both by radiography and magnetic resonance imaging as correlated with the clinical symptoms.

scholarly journals Symptomatic Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Sukesh A N ◽  
George Jacob ◽  
Jacob Varughese
Keyword(s):  
Knee Pain ◽  
Case Reports ◽  
Femoral Condyle ◽  
Lateral Collateral Ligament ◽  
Left Knee ◽  
Conservative Approach ◽  
Collateral Ligament ◽  
Lateral Aspect ◽  
Case Presentation ◽  
Anterior Posterior

Introduction: Lateral collateral ligament calcification is a rare cause of knee pain. There are only a handful of case reports, and the findings are usually incidental and asymptomatic. The exact mechanism for calcific deposit remains unclear. We present a case of symptomatic calcification within the lateral collateral ligament treated by surgical enucleation. Case presentation: A 52-year-old active woman presented with complaints of pain over the lateral aspect of the left knee of 6 months’ duration. Her pain was severe, aggravated on descending stairs but relieved on rest. Clinical examination revealed tenderness over the lateral aspect of the knee joint. Standard standing anterior-posterior radiograph of the left knee revealed a homogenous dense opacity adjacent to the lateral femoral condyle. Conclusion: Calcification within the lateral collateral ligament is rare and treatment is determined by whether the patient is symptomatic or not. If symptoms of the patient cannot be alleviated with a conservative approach, we recommend a surgical enucleation of the calcification, which in our case had good results. Keywords: Calcification, Knee pain, Lateral collateral ligament

Biomechanical Properties of the Stifle Joint Lateral Collateral Ligament in Dogs

1992 ◽  
Vol 05 (04) ◽  
pp. 158-162 ◽  
Author(s):  
D. Blackketter ◽  
J Harari ◽  
J. Dupuis
Keyword(s):  
Mechanical Properties ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
Biomechanical Properties ◽  
Fibular Head ◽  
Joint Stability ◽  
Collateral Ligament ◽  
Cranial Cruciate Ligament ◽  
Stifle Joint

Bone/lateral collateral ligament/bone preparations were tested and structural mechanical properties compared to properties of cranial cruciate ligament in 15 dogs. The lateral collateral ligament has sufficient stiffness to provide stifle joint stability and strength to resist acute overload following fibular head transposition.

scholarly journals Repair of a Divergent Elbow Dislocation with Distal Ulnar Fracture in a Dog Using TightRope and External Skeletal Fixation

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e58-e64
Author(s):  
Marcos Garcia ◽  
Camille Bismuth ◽  
Claire Deroy-Bordenave
Keyword(s):  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Normal Activity ◽  
Long Term Results ◽  
Collateral Ligament ◽  
Elbow Luxation ◽  
Ulnar Fracture ◽  
Fixation System

AbstractThe aim of this study was to report the outcome in a 6-year-old male English Setter dog that suffered a combination of divergent elbow dislocation and open distal ulnar fracture. This study is a case report. After surgical reduction in the elbow luxation, the dog was treated with the TightRope fixation system used as replacement of the lateral collateral ligament, a radioulnar positional screw, and external skeletal fixation. Removal of all implants was performed 3 months postoperatively. The 6-month follow-up visit found the dog without lameness, displaying normal activity, and with normal elbow range of motion and normal Campbell's test. Successful surgical management was achieved with good long-term results using TightRope, a positional screw, and an external skeletal fixator.

scholarly journals Surgical Treatment for Malunion of the Lateral Humeral Epicondyle with Posterior Subluxation of the Radial Head: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Koichi Yano ◽  
Yasunori Kaneshiro ◽  
Hideki Sakanaka
Keyword(s):  
Lateral Collateral Ligament ◽  
High Energy ◽  
Limited Range ◽  
Forearm Rotation ◽  
Collateral Ligament ◽  
Lateral Epicondyle ◽  
Limited Range Of Motion ◽  
Contracture Release ◽  
Normal Congruence ◽  
The Right

A 24-year-old right-handed man suffered right olecranon and lateral epicondylar fracture from high energy trauma. Fixation of olecranon was performed by a previous doctor. Three months after operation, he presented with limited range of motion (ROM) of the right elbow caused by malunion of the lateral epicondylar fracture and subluxation of the radiohumeral joint. Preoperative ROM of the right elbow was flexion 110° and extension −75°. Forearm rotation was pronation 85° and supination 65°. Fragment excision of the lateral epicondyle, which was 27 mm in length, and lateral collateral ligament repair using anchors were performed. Fourteen months postoperatively, contracture release of the elbow was performed. Twenty-four months postoperatively, radiograph of the elbow showed normal congruence without osteoarthritic changes and the ROM of the right elbow was flexion 120° and extension −35°. Forearm rotation was pronation 90° and supination 70°. In the surgical setting, in case of the size of the lateral epicondylar fragment is relatively large, the fragment should be fixed or lateral collateral ligament should be repaired when the instability of the elbow is found.

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