Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2004

01-07-2004 | Knee

Calcification of the patellar tendon after ACL reconstruction

A case report with long-term follow-up

Authors: Fahri Erdogan, Onder Aydingoz, Hayrettin Kesmezacar, Rifat Erginer

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2004

Login to get access

Abstract

Extensive calcification of the patellar tendon following ACL reconstruction with central-third bone–patellar tendon–bone autograft is a rarely seen complication. A 45-year-old male patient underwent combined intraarticular reconstruction of ACL with 1/3 central patellar bone–tendon–bone graft and extraarticular reconstruction with modified MacIntosh technique. Two cm of calcification of the patellar tendon was observed incidentally when he underwent a high tibial osteotomy due to medial compartment degeneration, secondary to varus malalignment, 18 months after the ACL surgery. The calcification, being painless, was left untouched during the surgery. At the final examination, 136 months postoperatively, the patient still had no complaint relating to the patellar tendon.
Literature
1.
go back to reference Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson GJ (1973) Jumper’s knee. Orthop Clin North Am 4:665–678PubMed Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson GJ (1973) Jumper’s knee. Orthop Clin North Am 4:665–678PubMed
2.
go back to reference Bonamo JJ, Krinick RM, Sporn AA (1984) Rupture of the patellar ligament after use of its central third for anterior cruciate reconstruction. A report of two cases. J Bone Joint Surg Am 66:1294–1297PubMed Bonamo JJ, Krinick RM, Sporn AA (1984) Rupture of the patellar ligament after use of its central third for anterior cruciate reconstruction. A report of two cases. J Bone Joint Surg Am 66:1294–1297PubMed
3.
go back to reference Christen B, Jakob RP (1992) Fractures associated with patellar ligament grafts in cruciate ligament surgery. J Bone Joint Surg Br 74:617–619PubMed Christen B, Jakob RP (1992) Fractures associated with patellar ligament grafts in cruciate ligament surgery. J Bone Joint Surg Br 74:617–619PubMed
4.
go back to reference Fritschy D, De Gautard R (1988) Jumper’s knee and ultrasonography. Am J Sports Med 16:637PubMed Fritschy D, De Gautard R (1988) Jumper’s knee and ultrasonography. Am J Sports Med 16:637PubMed
5.
go back to reference Graf B, Uhr F (1988) Complications of intra-articular anterior cruciate reconstruction. Clin Sports Med 7:835–848.PubMed Graf B, Uhr F (1988) Complications of intra-articular anterior cruciate reconstruction. Clin Sports Med 7:835–848.PubMed
6.
go back to reference Holstein A, Lewis GB, Schulze R (1964) Heterotopic ossification of patellar tendon. Bull Hosp Jt Dis 25:191–200 Holstein A, Lewis GB, Schulze R (1964) Heterotopic ossification of patellar tendon. Bull Hosp Jt Dis 25:191–200
7.
go back to reference Kelly MA, Insall JN (1987) Postpatellectomy extensive ossification of patellar tendon. Clin Orthop 215:148–152PubMed Kelly MA, Insall JN (1987) Postpatellectomy extensive ossification of patellar tendon. Clin Orthop 215:148–152PubMed
8.
go back to reference Langan P, Fontanetta AP (1987) Rupture of the patellar tendon after use of its central third. Orthop Rev 16:317–321PubMed Langan P, Fontanetta AP (1987) Rupture of the patellar tendon after use of its central third. Orthop Rev 16:317–321PubMed
9.
go back to reference Lerat JL,Besse JL,Vincent P, Bontemps S, Limouzy F, Moyen B, Brunet-Guedj E (1995) Sequelae in the knee extensor system following graft removal for the “Mac in Jones” type procedure. Rev Chir Orthop Reparatrice Appar Mot 81:404–409PubMed Lerat JL,Besse JL,Vincent P, Bontemps S, Limouzy F, Moyen B, Brunet-Guedj E (1995) Sequelae in the knee extensor system following graft removal for the “Mac in Jones” type procedure. Rev Chir Orthop Reparatrice Appar Mot 81:404–409PubMed
10.
go back to reference Matsumoto H, Kawakubo M, Otani T, Fujikawa K (1999) Extensive post-traumatic ossification of the patellar tendon. J Bone Joint Surg Br 81:34–36 Matsumoto H, Kawakubo M, Otani T, Fujikawa K (1999) Extensive post-traumatic ossification of the patellar tendon. J Bone Joint Surg Br 81:34–36
11.
go back to reference McCarnal JR (1983) Fracture of the patella during a golf swing following reconstruction of the ACL. A case report. Am J Sports Med 11:26–27PubMed McCarnal JR (1983) Fracture of the patella during a golf swing following reconstruction of the ACL. A case report. Am J Sports Med 11:26–27PubMed
12.
go back to reference Mickelsen PL, Morgan SJ, JohnsonWA, Ferrari JD (2001) Patellar tendon rupture 3 years after anterior cruciate ligament reconstruction with a central one third bone–patellar tendon–bone graft. Arthroscopy 17:648–652PubMed Mickelsen PL, Morgan SJ, JohnsonWA, Ferrari JD (2001) Patellar tendon rupture 3 years after anterior cruciate ligament reconstruction with a central one third bone–patellar tendon–bone graft. Arthroscopy 17:648–652PubMed
13.
go back to reference Ogden JA, Southwick WO (1976) Osgood–Schlatter’s disease and tibial tuberosity development. Clin Orthop 116:180PubMed Ogden JA, Southwick WO (1976) Osgood–Schlatter’s disease and tibial tuberosity development. Clin Orthop 116:180PubMed
14.
go back to reference Paulos L, Rosenberg TD, Dravbert J (1987) Infrapatellar contracture syndrome. An unrecognized cause of knee stiffness with entrapment and patella infera. Am J Sports Med 15:331–341PubMed Paulos L, Rosenberg TD, Dravbert J (1987) Infrapatellar contracture syndrome. An unrecognized cause of knee stiffness with entrapment and patella infera. Am J Sports Med 15:331–341PubMed
15.
go back to reference Richmond JC, Gladstone J, MacGillivray J (1991) Continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction: comparison of short- versus long-term use. Arthroscopy 7:39–44PubMed Richmond JC, Gladstone J, MacGillivray J (1991) Continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction: comparison of short- versus long-term use. Arthroscopy 7:39–44PubMed
16.
go back to reference Roberts FS, Drez D, Parker W (1989) Prevention of late patellar fracture in ACL deficient knees reconstructed with bone–patellar tendon–bone autografts. Am J Knee Surg 2:83–86 Roberts FS, Drez D, Parker W (1989) Prevention of late patellar fracture in ACL deficient knees reconstructed with bone–patellar tendon–bone autografts. Am J Knee Surg 2:83–86
17.
go back to reference Shelbourne KD, Klootwyk TE, DeCarlo MS (1992) Update on accelerated rehabilitation after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 15:303–308 Shelbourne KD, Klootwyk TE, DeCarlo MS (1992) Update on accelerated rehabilitation after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 15:303–308
18.
go back to reference Sinding-Larsen C (1921) A hitherto unknown affliction of the patella in children. Acta Radiol 1:171 Sinding-Larsen C (1921) A hitherto unknown affliction of the patella in children. Acta Radiol 1:171
19.
go back to reference Specchiulli F, Laforgia R, Mocci A, Miolla L, Scialpi L, Solarino G Jr (1995) Anterior cruciate ligament reconstruction. A comparison of 2 techniques. Clin Orthop 311:142–147PubMed Specchiulli F, Laforgia R, Mocci A, Miolla L, Scialpi L, Solarino G Jr (1995) Anterior cruciate ligament reconstruction. A comparison of 2 techniques. Clin Orthop 311:142–147PubMed
20.
go back to reference Zavatsky AB, Phil D, Beard DJ, O‘Connor JJ (1994) Cruciate ligament loading during isometric muscle contractions: a theoretical basis for rehabilitation. Am J Sports Med 22:418–423PubMed Zavatsky AB, Phil D, Beard DJ, O‘Connor JJ (1994) Cruciate ligament loading during isometric muscle contractions: a theoretical basis for rehabilitation. Am J Sports Med 22:418–423PubMed
Metadata
Title
Calcification of the patellar tendon after ACL reconstruction
A case report with long-term follow-up
Authors
Fahri Erdogan
Onder Aydingoz
Hayrettin Kesmezacar
Rifat Erginer
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2004
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-003-0424-1

Other articles of this Issue 4/2004

Knee Surgery, Sports Traumatology, Arthroscopy 4/2004 Go to the issue