HSS Ultrasound of the Month Case 159

Clinical History 71 year old male with left knee medial-sided pain.

Ultrasound of the Month – Case 159

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Ultrasound of the Month – Case 159

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Ultrasound of the Month – Case 159

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Ultrasound of the Month – Case 159

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Diagnosis: Calcium Hydroxyapatite Deposition in the Medial Collateral Ligament Calcium hydroxyapatite deposition disease is a pathology in which calcific deposits form around and within joints.

The most common location affected is the rotator cuff of the shoulder, but ligaments and tendons about other joints are also susceptible, and intra-articular involvement still more uncommon.

Treatment includes barbotage, a technique by which calcium hydroxyapatite deposits are lavaged and needled.

Following barbotage, anesthetic and steroid is injected into the overlying soft tissues for anti-inflammatory effects and pain relief.

Ultrasound of the Month – Case 159

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